Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.11 / $290.29 / $8,746.66	Facility		$82.11	$290.29	$8,746.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.28 / $44.77 / $74.95	Professional		$40.28	$44.77	$74.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $40.29 / $40.29	Professional		$40.29	$40.29	$40.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $42.71 / $74.95 / $107.18	Facility		$42.71	$74.95	$107.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $40.29 / $90.65	Professional		$40.29	$40.29	$90.65
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.26 / $105.00 / $165.00	Facility		$78.26	$105.00	$165.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $90.00 / $90.00	Professional		$75.00	$90.00	$90.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.29 / $74.95 / $150.00	Facility		$40.29	$74.95	$150.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $62.64 / $82.50	Professional		$40.29	$62.64	$82.50
United Facility/Professional Professional Modifier Low / Median / High Price $42.71 / $60.44 / $120.87	Professional		$42.71	$60.44	$120.87