Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.08 / $39.54 / $99.89	Facility		$36.08	$39.54	$99.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.42 / $14.40 / $28.87	Professional		$10.42	$14.40	$28.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.87 / $84.63 / $116.06	Professional		$16.87	$84.63	$116.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.71 / $24.54 / $32.89	Facility		$16.71	$24.54	$32.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.05 / $38.14 / $46.55	Professional		$22.05	$38.14	$46.55
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.65 / $23.65 / $3,495.87	Facility		$23.65	$23.65	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.10 / $29.70 / $57.20	Professional		$23.10	$29.70	$57.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.10 / $23.10 / $3,495.87	Facility		$23.10	$23.10	$3,495.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.72 / $35.70 / $108.10	Professional		$17.72	$35.70	$108.10
United Facility/Professional Professional Modifier Low / Median / High Price $36.94 / $40.46 / $60.69	Professional		$36.94	$40.46	$60.69