Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.94 / $6,541.00 / $13,413.92	Facility		$78.94	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.41 / $10.41 / $13,413.92	Professional		$10.41	$10.41	$13,413.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Facility		$25.12	$25.12	$25.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $9.38 / $11.72	Professional		$1.58	$9.38	$11.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.46 / $4.46 / $8.14	Facility		$4.46	$4.46	$8.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $9.09 / $9.09 / $36.36	Professional		$9.09	$9.09	$36.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.50 / $14.22 / $36.36	Facility		$10.50	$14.22	$36.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.15 / $7.95 / $19.87	Professional		$3.15	$7.95	$19.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.46 / $5.49 / $12.00	Facility		$4.46	$5.49	$12.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.70 / $3.00 / $8.25	Professional		$2.70	$3.00	$8.25
United Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $6.00 / $9.05	Professional		$1.35	$6.00	$9.05