Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $16.78 / $30.97	Professional		$7.76	$16.78	$30.97
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $3.71 / $8.39 / $15.49	Professional	52	$3.71	$8.39	$15.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.77 / $15.77 / $15.77	Professional		$15.77	$15.77	$15.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.72 / $23.49 / $43.36	Facility		$11.72	$23.49	$43.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.83 / $42.85 / $65.29	Professional		$21.83	$42.85	$65.29
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.45 / $36.45 / $3,495.87	Facility		$36.45	$36.45	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.25 / $46.41 / $86.70	Professional		$22.25	$46.41	$86.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.55 / $20.81 / $43.36	Facility		$10.55	$20.81	$43.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $37.29 / $77.48	Professional		$17.55	$37.29	$77.48
United Facility/Professional Professional Modifier Low / Median / High Price $42.34 / $45.78 / $94.99	Professional		$42.34	$45.78	$94.99