Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.73 / $355.88 / $35,267.01	Facility		$54.73	$355.88	$35,267.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.21 / $61.12 / $103.35	Professional		$55.21	$61.12	$103.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.57 / $55.57 / $55.57	Professional		$55.57	$55.57	$55.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $56.12 / $103.35 / $147.79	Facility		$56.12	$103.35	$147.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $55.57 / $55.57 / $111.14	Professional		$55.57	$55.57	$111.14
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.56 / $93.55 / $147.00	Facility		$77.56	$93.55	$147.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.81 / $80.18 / $80.18	Professional		$66.81	$80.18	$80.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $55.57 / $103.35 / $147.79	Facility		$55.57	$103.35	$147.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $55.57 / $61.70 / $77.54	Professional		$55.57	$61.70	$77.54
United Facility/Professional Professional Modifier Low / Median / High Price $58.90 / $83.36 / $166.71	Professional		$58.90	$83.36	$166.71