Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Facility		$91.20	$91.20	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $34.67 / $83.18	Professional		$30.20	$34.67	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $40.74 / $75.86	Professional		$30.20	$40.74	$75.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $38.02 / $72.44	Facility		$29.51	$38.02	$72.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $83.18 / $134.90	Professional		$46.77	$83.18	$134.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $3,467.37	Facility		$125.89	$125.89	$3,467.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $95.50 / $141.25	Professional		$52.48	$95.50	$141.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $38.02 / $83.18	Facility		$29.51	$38.02	$83.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $45.71 / $112.20	Professional		$31.62	$45.71	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $93.33 / $162.18	Professional		$32.36	$93.33	$162.18