Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $194.98 / $19,952.62	Facility		$56.23	$194.98	$19,952.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $56.23	Professional		$30.20	$30.20	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $56.23	Facility		$30.20	$30.20	$56.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $97.72	Professional		$30.20	$30.20	$97.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $141.25 / $223.87	Facility		$30.20	$141.25	$223.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Professional		$30.90	$30.90	$30.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $79.43	Facility		$56.23	$56.23	$79.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $32.36 / $60.26	Professional		$31.62	$32.36	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $47.86 / $128.82	Professional		$33.88	$47.86	$128.82