Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.05 / $38.44 / $97.09	Facility		$28.05	$38.44	$97.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $15.84 / $28.06	Professional		$8.11	$15.84	$28.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.43 / $84.63 / $116.06	Professional		$13.43	$84.63	$116.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.73 / $22.14 / $28.06	Facility		$12.73	$22.14	$28.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $38.24 / $48.73	Professional		$25.00	$38.24	$48.73
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 $18.89 / $26.60 / $50.40	Professional		$18.89	$26.60	$50.40
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 $14.41 / $28.50 / $108.10	Professional		$14.41	$28.50	$108.10
United Facility/Professional Professional Modifier Low / Median / High Price $36.06 / $38.54 / $57.81	Professional		$36.06	$38.54	$57.81