Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.86 / $29.86 / $29.86	Facility		$29.86	$29.86	$29.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.89 / $40.71 / $44.79	Professional		$23.89	$40.71	$44.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.83 / $43.83 / $43.83	Professional		$43.83	$43.83	$43.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $34.15 / $34.15 / $34.15	Facility		$34.15	$34.15	$34.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $24.61 / $39.13 / $39.13	Professional		$24.61	$39.13	$39.13
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.64 / $63.64 / $100.01	Facility		$63.64	$63.64	$100.01
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.89 / $23.89 / $62.50	Professional		$23.89	$23.89	$62.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.15 / $63.18 / $148.93	Facility		$34.15	$63.18	$148.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $35.15 / $62.50	Professional		$23.00	$35.15	$62.50
United Facility/Professional Professional Modifier Low / Median / High Price $39.56 / $40.24 / $42.66	Professional		$39.56	$40.24	$42.66