Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.03 / $341.14 / $4,227.47	Facility		$121.03	$341.14	$4,227.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.78 / $34.58 / $63.61	Professional		$18.78	$34.58	$63.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $18.59 / $18.59	Professional		$18.59	$18.59	$18.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $49.45 / $49.45 / $49.45	Facility		$49.45	$49.45	$49.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $18.59 / $59.86	Professional		$18.59	$18.59	$59.86
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.19 / $47.74 / $75.02	Facility		$28.19	$47.74	$75.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.74 / $49.45 / $112.53	Facility		$28.74	$49.45	$112.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $18.59 / $20.17	Professional		$18.59	$18.59	$20.17
United Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $27.89 / $37.50	Professional		$18.59	$27.89	$37.50