Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.08 / $61.08 / $61.08	Facility		$61.08	$61.08	$61.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.72 / $27.04 / $55.28	Professional		$21.72	$27.04	$55.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.73 / $37.54 / $93.85	Professional		$22.73	$37.54	$93.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $27.22 / $51.53 / $77.39	Facility		$27.22	$51.53	$77.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $70.84 / $113.40	Professional		$55.00	$70.84	$113.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.10 / $89.10 / $3,495.87	Facility		$89.10	$89.10	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.05 / $91.25 / $133.00	Professional		$50.05	$91.25	$133.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.93 / $51.53 / $77.39	Facility		$23.93	$51.53	$77.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.20 / $65.70 / $133.00	Professional		$34.20	$65.70	$133.00
United Facility/Professional Professional Modifier Low / Median / High Price $60.30 / $75.08 / $150.16	Professional		$60.30	$75.08	$150.16