Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.06 / $190.25 / $190.25	Facility		$133.06	$190.25	$190.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.87 / $31.67 / $46.00	Professional		$17.87	$31.67	$46.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.76 / $32.76 / $32.76	Professional		$32.76	$32.76	$32.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $24.85 / $24.85 / $24.85	Facility		$24.85	$24.85	$24.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $31.67 / $31.67 / $101.98	Professional		$31.67	$31.67	$101.98
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.68 / $46.68 / $73.34	Facility		$46.68	$46.68	$73.34
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $72.50	Professional		$17.38	$17.38	$72.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.85 / $45.35 / $106.89	Facility		$24.85	$45.35	$106.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.89 / $32.76 / $72.50	Professional		$16.89	$32.76	$72.50
United Facility/Professional Professional Modifier Low / Median / High Price $29.26 / $29.26 / $34.95	Professional		$29.26	$29.26	$34.95