Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.84 / $27.79 / $193.08	Facility		$17.84	$27.79	$193.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.24 / $31.19 / $34.32	Professional		$22.24	$31.19	$34.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.14 / $33.14 / $33.14	Professional		$33.14	$33.14	$33.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.97 / $30.97 / $30.97	Facility		$30.97	$30.97	$30.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.60 / $29.59 / $29.59	Professional		$26.60	$29.59	$29.59
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.74 / $47.74 / $75.02	Facility		$47.74	$47.74	$75.02
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.66 / $21.66 / $21.66	Professional		$21.66	$21.66	$21.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.97 / $47.74 / $112.53	Facility		$30.97	$47.74	$112.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $21.09 / $33.14	Professional		$18.62	$21.09	$33.14
United Facility/Professional Professional Modifier Low / Median / High Price $29.99 / $29.99 / $35.70	Professional		$29.99	$29.99	$35.70