Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.65 / $208.20 / $353.75	Facility		$44.65	$208.20	$353.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.07 / $101.07 / $193.99	Professional		$101.07	$101.07	$193.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.69 / $34.69 / $43.37	Professional		$34.69	$34.69	$43.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.25 / $25.25 / $25.25	Facility		$25.25	$25.25	$25.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $30.17 / $30.17 / $120.68	Professional		$30.17	$30.17	$120.68
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $105.60 / $116.15 / $179.69	Facility		$105.60	$116.15	$179.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.15 / $67.88 / $67.88	Professional		$27.15	$67.88	$67.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.25 / $25.25 / $105.60	Facility		$25.25	$25.25	$105.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.86 / $30.17 / $36.01	Professional		$27.86	$30.17	$36.01
United Facility/Professional Professional Modifier Low / Median / High Price $17.51 / $60.34 / $91.03	Professional		$17.51	$60.34	$91.03