Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $23.99 / $28.18	Professional		$22.91	$23.99	$28.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $4.07 / $4.07	Professional		$4.07	$4.07	$4.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $28.18 / $53.70	Facility		$14.45	$28.18	$53.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $23.99 / $60.26	Professional		$21.88	$23.99	$60.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $9.77 / $3,467.37	Facility		$9.77	$9.77	$3,467.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $9.77 / $9.77	Professional		$9.77	$9.77	$9.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $29.51 / $42.66	Facility		$14.45	$29.51	$42.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $4.07 / $60.26	Professional		$4.07	$4.07	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $7.76 / $10.00	Professional		$6.61	$7.76	$10.00