Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.84 / $30.06 / $30.06	Facility		$17.84	$30.06	$30.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.05 / $47.64 / $52.40	Professional		$24.05	$47.64	$52.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.10 / $50.10 / $50.10	Professional		$50.10	$50.10	$50.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $34.39 / $34.39 / $34.39	Facility		$34.39	$34.39	$34.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.95 / $44.73 / $44.73	Professional		$20.95	$44.73	$44.73
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.94 / $74.94 / $117.77	Facility		$74.94	$74.94	$117.77
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.05 / $24.05 / $75.00	Professional		$24.05	$24.05	$75.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.39 / $71.43 / $168.37	Facility		$34.39	$71.43	$168.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.98 / $29.93 / $75.00	Professional		$15.98	$29.93	$75.00
United Facility/Professional Professional Modifier Low / Median / High Price $44.73 / $44.73 / $53.53	Professional		$44.73	$44.73	$53.53