Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $416.87	Facility		$69.18	$69.18	$416.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $61.66 / $97.72	Professional		$23.99	$61.66	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $85.11 / $208.93	Professional		$30.90	$85.11	$208.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $67.61 / $165.96	Facility		$26.92	$67.61	$165.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $123.03 / $426.58	Professional		$48.98	$123.03	$426.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $3,467.37	Facility		$109.65	$109.65	$3,467.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $141.25 / $338.84	Professional		$61.66	$141.25	$338.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $67.61 / $165.96	Facility		$26.30	$67.61	$165.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $79.43 / $199.53	Professional		$32.36	$79.43	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $117.49 / $323.59	Professional		$30.20	$117.49	$323.59