Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.89 / $98.89 / $98.89	Facility		$98.89	$98.89	$98.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.76 / $22.07 / $24.27	Professional		$15.76	$22.07	$24.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.82 / $21.82 / $21.82	Professional		$21.82	$21.82	$21.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.54 / $22.54 / $22.54	Facility		$22.54	$22.54	$22.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.07 / $22.07 / $71.06	Professional		$22.07	$22.07	$71.06
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.21 / $32.21 / $50.62	Facility		$32.21	$32.21	$50.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.36 / $14.36 / $38.75	Professional		$14.36	$14.36	$38.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.54 / $32.21 / $75.93	Facility		$22.54	$32.21	$75.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.82 / $23.94 / $38.75	Professional		$21.82	$23.94	$38.75
United Facility/Professional Professional Modifier Low / Median / High Price $19.72 / $19.72 / $23.98	Professional		$19.72	$19.72	$23.98