Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.12 / $109.97 / $31,489.21	Facility		$17.12	$109.97	$31,489.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.01 / $18.72 / $32.00	Professional		$17.01	$18.72	$32.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.02 / $17.02 / $17.02	Professional		$17.02	$17.02	$17.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.19 / $31.65 / $44.31	Facility		$17.19	$31.65	$44.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.02 / $17.02 / $34.04	Professional		$17.02	$17.02	$34.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.43 / $26.11 / $41.03	Facility		$24.43	$26.11	$41.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.64 / $22.38 / $22.38	Professional		$18.64	$22.38	$22.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.02 / $31.65 / $44.31	Facility		$17.02	$31.65	$44.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.02 / $19.34 / $22.38	Professional		$17.02	$19.34	$22.38
United Facility/Professional Professional Modifier Low / Median / High Price $18.04 / $25.53 / $51.06	Professional		$18.04	$25.53	$51.06