Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.47 / $38.38 / $79.51	Facility		$31.47	$38.38	$79.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.63 / $14.40 / $24.35	Professional		$9.63	$14.40	$24.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.30 / $15.64 / $105.33	Professional		$11.30	$15.64	$105.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.72 / $19.53 / $32.26	Facility		$14.72	$19.53	$32.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.64 / $32.09 / $52.05	Professional		$16.64	$32.09	$52.05
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.25 / $19.25 / $3,495.87	Facility		$19.25	$19.25	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.50 / $29.25 / $54.00	Professional		$17.50	$29.25	$54.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.25 / $19.25 / $3,495.87	Facility		$19.25	$19.25	$3,495.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.12 / $28.00 / $54.00	Professional		$14.12	$28.00	$54.00
United Facility/Professional Professional Modifier Low / Median / High Price $30.07 / $32.88 / $49.32	Professional		$30.07	$32.88	$49.32