Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.92 / $36.22 / $87.68	Facility		$29.92	$36.22	$87.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.53 / $15.09 / $33.61	Professional		$10.53	$15.09	$33.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.67 / $24.63 / $56.59	Professional		$12.67	$24.63	$56.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.89 / $25.30 / $40.57	Facility		$13.89	$25.30	$40.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.30 / $38.64 / $65.27	Professional		$28.30	$38.64	$65.27
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.25 / $33.25 / $3,495.87	Facility		$33.25	$33.25	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.66 / $36.75 / $49.20	Professional		$25.66	$36.75	$49.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.89 / $23.94 / $40.57	Facility		$12.89	$23.94	$40.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.19 / $33.25 / $52.50	Professional		$18.19	$33.25	$52.50
United Facility/Professional Professional Modifier Low / Median / High Price $37.79 / $40.65 / $45.74	Professional		$37.79	$40.65	$45.74