Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.22 / $309.66 / $492.10	Facility		$67.22	$309.66	$492.10
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $31.40 / $40.63 / $526.50	Facility	CQ	$31.40	$40.63	$526.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $25.79 / $70.98	Professional		$13.00	$25.79	$70.98
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $52.65 / $66.76 / $175.75	Professional	CQ	$52.65	$66.76	$175.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $84.66 / $116.06	Professional		$29.27	$84.66	$116.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $31.20 / $51.87 / $98.21	Facility		$31.20	$51.87	$98.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $38.85 / $75.34 / $88.30	Professional		$38.85	$75.34	$88.30
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.55 / $44.55 / $3,495.87	Facility		$44.55	$44.55	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $54.51 / $100.00	Professional		$40.00	$54.51	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.00 / $44.00 / $3,495.87	Facility		$44.00	$44.00	$3,495.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.46 / $62.87 / $114.34	Professional		$31.46	$62.87	$114.34
United Facility/Professional Professional Modifier Low / Median / High Price $69.59 / $75.76 / $106.06	Professional		$69.59	$75.76	$106.06