Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.12 / $187.81 / $44,200.68	Facility		$53.12	$187.81	$44,200.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.85 / $30.65 / $62.18	Professional		$27.85	$30.65	$62.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.86 / $27.86 / $29.04	Professional		$27.86	$27.86	$29.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.85 / $51.82 / $92.10	Facility		$28.85	$51.82	$92.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $27.86 / $27.86 / $62.69	Professional		$27.86	$27.86	$62.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.36 / $117.22 / $184.21	Facility		$43.36	$117.22	$184.21
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.73 / $100.48 / $100.48	Professional		$83.73	$100.48	$100.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.86 / $51.82 / $167.46	Facility		$27.86	$51.82	$167.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.86 / $31.91 / $83.73	Professional		$27.86	$31.91	$83.73
United Facility/Professional Professional Modifier Low / Median / High Price $29.53 / $41.79 / $83.58	Professional		$29.53	$41.79	$83.58