Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.48 / $81.48 / $81.48	Facility		$81.48	$81.48	$81.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.89 / $16.87 / $27.70	Professional		$12.89	$16.87	$27.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.99 / $13.99 / $13.99	Professional		$13.99	$13.99	$13.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.87 / $27.70 / $38.78	Facility		$16.87	$27.70	$38.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $45.60 / $70.78	Professional		$38.00	$45.60	$70.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.45 / $63.45 / $3,495.87	Facility		$63.45	$63.45	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.25 / $58.75 / $80.00	Professional		$29.25	$58.75	$80.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.71 / $27.70 / $38.78	Facility		$16.71	$27.70	$38.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $38.00 / $75.84	Professional		$14.73	$38.00	$75.84
United Facility/Professional Professional Modifier Low / Median / High Price $37.85 / $42.06 / $84.12	Professional		$37.85	$42.06	$84.12