Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.01 / $3,575.04 / $3,575.04	Facility		$19.01	$3,575.04	$3,575.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.30 / $20.32 / $42.45	Professional		$18.30	$20.32	$42.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.30 / $18.30 / $18.30	Professional		$18.30	$18.30	$18.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $48.66 / $48.66 / $48.66	Facility		$48.66	$48.66	$48.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.30 / $18.30 / $58.93	Professional		$18.30	$18.30	$58.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.17 / $34.69 / $54.52	Facility		$27.17	$34.69	$54.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.91 / $48.58 / $80.16	Facility		$26.91	$48.58	$80.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.30 / $18.30 / $19.85	Professional		$18.30	$18.30	$19.85
United Facility/Professional Professional Modifier Low / Median / High Price $18.30 / $27.45 / $36.90	Professional		$18.30	$27.45	$36.90