Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $109.65 / $263.03	Facility		$70.79	$109.65	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $33.88 / $128.82	Professional		$21.88	$33.88	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $40.74 / $91.20	Professional		$28.18	$40.74	$91.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $44.67 / $100.00	Facility		$30.20	$44.67	$100.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $100.00 / $162.18	Professional		$46.77	$100.00	$162.18
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $60.26 / $3,467.37	Facility		$46.77	$60.26	$3,467.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $75.86 / $144.54	Professional		$60.26	$75.86	$144.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $42.66 / $97.72	Facility		$28.84	$42.66	$97.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $58.88 / $91.20	Professional		$38.90	$58.88	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $102.33 / $141.25	Professional		$33.88	$102.33	$141.25