Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $884.14 / $884.14 / $884.14	Facility		$884.14	$884.14	$884.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.40 / $47.40 / $63.00	Professional		$47.40	$47.40	$63.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.22 / $33.22 / $33.22	Facility		$33.22	$33.22	$33.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.25 / $33.22 / $35.40	Professional		$24.25	$33.22	$35.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.30 / $16.30 / $16.30	Facility		$16.30	$16.30	$16.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $52.57 / $52.57 / $83.01	Professional		$52.57	$52.57	$83.01
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.04 / $54.04 / $54.04	Professional		$54.04	$54.04	$54.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.30 / $16.30 / $33.22	Facility		$16.30	$16.30	$33.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.25 / $35.40 / $54.58	Professional		$24.25	$35.40	$54.58
United Facility/Professional Professional Modifier Low / Median / High Price $26.74 / $52.91 / $69.02	Professional		$26.74	$52.91	$69.02