Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $181.97 / $3,890.45	Facility		$51.29	$181.97	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $51.29	Professional		$26.92	$26.92	$51.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Professional		$27.54	$27.54	$27.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $51.29	Facility		$27.54	$27.54	$51.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $89.13	Professional		$27.54	$27.54	$89.13
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $125.89 / $199.53	Facility		$27.54	$125.89	$199.53
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Professional		$25.12	$25.12	$25.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $74.13	Facility		$51.29	$51.29	$74.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $30.20 / $60.26	Professional		$26.92	$30.20	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $41.69 / $56.23	Professional		$27.54	$41.69	$56.23