Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.81 / $132.29 / $9,131.94	Facility		$48.81	$132.29	$9,131.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.85 / $30.93 / $2,614.64	Professional		$27.85	$30.93	$2,614.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.85 / $27.85 / $27.85	Professional		$27.85	$27.85	$27.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $74.06 / $74.06 / $74.06	Facility		$74.06	$74.06	$74.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $27.85 / $27.85 / $89.68	Professional		$27.85	$27.85	$89.68
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.60 / $120.43 / $189.24	Facility		$35.60	$120.43	$189.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.06 / $120.43 / $283.87	Facility		$29.06	$120.43	$283.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.85 / $27.85 / $30.21	Professional		$27.85	$27.85	$30.21
United Facility/Professional Professional Modifier Low / Median / High Price $31.00 / $41.78 / $83.55	Professional		$31.00	$41.78	$83.55