Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $12,882.50 / $15,135.61	Facility		$83.18	$12,882.50	$15,135.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.88 / $21.88	Professional		$12.02	$12.88	$21.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $12.88	Professional		$12.88	$12.88	$12.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $15.49 / $32.36	Facility		$12.88	$15.49	$32.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $16.22 / $32.36	Professional		$12.88	$16.22	$32.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $41.69 / $64.57	Facility		$12.88	$41.69	$64.57
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $35.48 / $35.48	Professional		$29.51	$35.48	$35.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $18.20 / $33.88	Facility		$12.88	$18.20	$33.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $23.99	Professional		$12.88	$12.88	$23.99
United Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $19.05 / $36.31	Professional		$12.88	$19.05	$36.31