Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $229.09	Facility		$39.81	$39.81	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $28.84 / $87.10	Professional		$19.05	$28.84	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $33.88 / $67.61	Professional		$23.99	$33.88	$67.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $34.67 / $72.44	Facility		$25.70	$34.67	$72.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $85.11 / $138.04	Professional		$44.67	$85.11	$138.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $52.48 / $3,467.37	Facility		$39.81	$52.48	$3,467.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $64.57 / $117.49	Professional		$48.98	$64.57	$117.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $33.88 / $75.86	Facility		$25.12	$33.88	$75.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $50.12 / $79.43	Professional		$33.11	$50.12	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $89.13 / $123.03	Professional		$28.84	$89.13	$123.03