Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.41 / $25.01 / $99.89	Facility		$24.41	$25.01	$99.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.98 / $13.65 / $28.87	Professional		$8.98	$13.65	$28.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.19 / $84.63 / $116.06	Professional		$15.19	$84.63	$116.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.52 / $24.54 / $28.87	Facility		$15.52	$24.54	$28.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $40.03 / $46.55	Professional		$21.00	$40.03	$46.55
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.10 / $23.10 / $3,495.87	Facility		$23.10	$23.10	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.50 / $27.72 / $54.00	Professional		$21.50	$27.72	$54.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.65 / $23.65 / $3,495.87	Facility		$23.65	$23.65	$3,495.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.19 / $33.60 / $111.17	Professional		$17.19	$33.60	$111.17
United Facility/Professional Professional Modifier Low / Median / High Price $36.94 / $41.26 / $61.89	Professional		$36.94	$41.26	$61.89