Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.32 / $58.92 / $122.07	Facility		$48.32	$58.92	$122.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.08 / $16.86 / $35.28	Professional		$11.08	$16.86	$35.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.19 / $84.63 / $117.60	Professional		$20.19	$84.63	$117.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.30 / $29.99 / $35.42	Facility		$18.30	$29.99	$35.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $24.98 / $48.90 / $59.40	Professional		$24.98	$48.90	$59.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.70 / $29.70 / $3,495.87	Facility		$29.70	$29.70	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.50 / $35.36 / $65.00	Professional		$24.50	$35.36	$65.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.30 / $28.60 / $35.42	Facility		$18.30	$28.60	$35.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.71 / $40.61 / $108.10	Professional		$21.71	$40.61	$108.10
United Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $49.62 / $69.47	Professional		$26.71	$49.62	$69.47