Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $6,606.93 / $16,595.87	Facility		$2,511.89	$6,606.93	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $28.18	Professional		$2.00	$2.00	$28.18
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 / $9.33 / $11.75	Professional		$1.58	$9.33	$11.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $5.89 / $28.84	Facility		$4.47	$5.89	$28.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $28.18 / $30.20	Professional		$2.69	$28.18	$30.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $33.88 / $37.15	Facility		$9.33	$33.88	$37.15
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $19.95 / $19.95	Professional		$4.47	$19.95	$19.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $4.47 / $9.77	Facility		$4.47	$4.47	$9.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $2.69 / $3.02	Professional		$1.26	$2.69	$3.02
United Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $6.03 / $9.12	Professional		$1.35	$6.03	$9.12