Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.29 / $69.29 / $69.29	Facility		$69.29	$69.29	$69.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.76 / $29.71 / $32.68	Professional		$20.76	$29.71	$32.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.33 / $29.33 / $29.33	Professional		$29.33	$29.33	$29.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.93 / $28.93 / $28.93	Facility		$28.93	$28.93	$28.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $29.71 / $29.71 / $95.67	Professional		$29.71	$29.71	$95.67
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.55 / $48.62 / $66.86	Facility		$42.55	$48.62	$66.86
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.64 / $17.64 / $17.64	Professional		$17.64	$17.64	$17.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.93 / $28.93 / $28.93	Facility		$28.93	$28.93	$28.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.33 / $29.33 / $32.22	Professional		$29.33	$29.33	$32.22
United Facility/Professional Professional Modifier Low / Median / High Price $25.44 / $25.44 / $31.28	Professional		$25.44	$25.44	$31.28