Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.68 / $85.78 / $216.70	Facility		$39.68	$85.78	$216.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.21 / $62.63 / $62.63	Professional		$20.21	$62.63	$62.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.31 / $84.66 / $116.06	Professional		$30.31	$84.66	$116.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $29.45 / $53.13 / $62.63	Facility		$29.45	$53.13	$62.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $43.94 / $85.08 / $99.87	Professional		$43.94	$85.08	$99.87
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.25 / $52.25 / $3,495.87	Facility		$52.25	$52.25	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.00 / $63.00 / $114.00	Professional		$43.00	$63.00	$114.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.45 / $51.70 / $62.63	Facility		$29.45	$51.70	$62.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.04 / $66.50 / $114.99	Professional		$34.04	$66.50	$114.99
United Facility/Professional Professional Modifier Low / Median / High Price $75.42 / $88.42 / $123.79	Professional		$75.42	$88.42	$123.79