Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $363.08 / $954.99	Facility		$34.67	$363.08	$954.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $26.92	Professional		$14.13	$14.13	$26.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $14.79	Professional		$14.79	$14.79	$14.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $14.79 / $363.08	Facility		$14.79	$14.79	$363.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $47.86	Professional		$14.79	$14.79	$47.86
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $23.99 / $37.15	Facility		$22.39	$23.99	$37.15
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $14.79	Professional		$14.79	$14.79	$14.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $38.90	Facility		$27.54	$27.54	$38.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $15.85 / $60.26	Professional		$14.79	$15.85	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $21.88 / $40.74	Professional		$14.79	$21.88	$40.74