Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $28,183.83 / $28,183.83	Facility		$169.82	$28,183.83	$28,183.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.70 / $30.90	Professional		$25.12	$25.70	$30.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Professional		$25.70	$25.70	$25.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $30.90 / $64.57	Facility		$25.70	$30.90	$64.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $30.90 / $64.57	Professional		$25.70	$30.90	$64.57
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $102.33 / $162.18	Facility		$25.70	$102.33	$162.18
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $89.13 / $89.13	Professional		$74.13	$89.13	$89.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $35.48 / $69.18	Facility		$25.70	$35.48	$69.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $46.77	Professional		$25.70	$25.70	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $38.90 / $72.44	Professional		$25.70	$38.90	$72.44