Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.84 / $12,905.46 / $99,999.00	Facility		$107.84	$12,905.46	$99,999.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.28 / $66.31 / $133.22	Professional		$60.28	$66.31	$133.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.29 / $60.29 / $60.29	Professional		$60.29	$60.29	$60.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $60.89 / $112.14 / $157.00	Facility		$60.89	$112.14	$157.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.29 / $60.29 / $120.58	Professional		$60.29	$60.29	$120.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $86.94 / $97.13 / $152.63	Facility		$86.94	$97.13	$152.63
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.38 / $83.26 / $83.26	Professional		$69.38	$83.26	$83.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.29 / $112.14 / $157.00	Facility		$60.29	$112.14	$157.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.29 / $69.86 / $81.62	Professional		$60.29	$69.86	$81.62
United Facility/Professional Professional Modifier Low / Median / High Price $63.91 / $90.44 / $171.83	Professional		$63.91	$90.44	$171.83