Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.12 / $33.00 / $83.39	Facility		$30.12	$33.00	$83.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.32 / $14.56 / $31.81	Professional		$9.32	$14.56	$31.81
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 $15.12 / $20.49 / $27.20	Facility		$15.12	$20.49	$27.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.57 / $33.47 / $42.82	Professional		$17.57	$33.47	$42.82
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.35 / $20.35 / $3,495.87	Facility		$20.35	$20.35	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $26.79 / $51.30	Professional		$20.35	$26.79	$51.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.55 / $22.55 / $3,495.87	Facility		$22.55	$22.55	$3,495.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.64 / $31.68 / $108.10	Professional		$16.64	$31.68	$108.10
United Facility/Professional Professional Modifier Low / Median / High Price $31.79 / $37.72 / $56.58	Professional		$31.79	$37.72	$56.58