Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $489.78 / $25,118.86	Facility		$79.43	$489.78	$25,118.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $91.20	Professional		$75.86	$75.86	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $138.04	Facility		$75.86	$75.86	$138.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $91.20 / $190.55	Professional		$75.86	$91.20	$190.55
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $123.03 / $194.98	Facility		$75.86	$123.03	$194.98
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $107.15 / $107.15	Professional		$89.13	$107.15	$107.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $100.00 / $141.25	Facility		$75.86	$100.00	$141.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $97.72	Professional		$75.86	$75.86	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $112.20 / $213.80	Professional		$75.86	$112.20	$213.80