Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.69 / $281.72 / $9,749.60	Facility		$79.69	$281.72	$9,749.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.71 / $52.30 / $88.44	Professional		$43.71	$52.30	$88.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.55 / $47.55 / $54.45	Professional		$47.55	$47.55	$54.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $48.02 / $88.44 / $126.47	Facility		$48.02	$88.44	$126.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $47.55 / $47.55 / $106.99	Professional		$47.55	$47.55	$106.99
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.35 / $152.33 / $239.38	Facility		$52.35	$152.33	$239.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.81 / $130.57 / $130.57	Professional		$108.81	$130.57	$130.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.55 / $88.44 / $217.62	Facility		$47.55	$88.44	$217.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.21 / $47.55 / $108.81	Professional		$29.21	$47.55	$108.81
United Facility/Professional Professional Modifier Low / Median / High Price $50.40 / $71.33 / $142.65	Professional		$50.40	$71.33	$142.65