Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.42 / $78.93 / $27,856.18	Facility		$16.42	$78.93	$27,856.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.53 / $11.71 / $19.61	Professional		$10.53	$11.71	$19.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $10.54 / $12.93	Professional		$10.54	$10.54	$12.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.18 / $19.61 / $28.04	Facility		$11.18	$19.61	$28.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $10.54 / $23.72	Professional		$10.54	$10.54	$23.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.43 / $26.05 / $40.94	Facility		$20.43	$26.05	$40.94
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.61 / $22.33 / $22.33	Professional		$18.61	$22.33	$22.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.96 / $19.61 / $34.58	Facility		$12.96	$19.61	$34.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $16.02 / $20.75	Professional		$10.54	$16.02	$20.75
United Facility/Professional Professional Modifier Low / Median / High Price $11.17 / $15.81 / $31.62	Professional		$11.17	$15.81	$31.62