Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.01 / $24.69 / $41.85	Professional		$19.01	$24.69	$41.85
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $142.88 / $142.88 / $142.88	Professional	25	$142.88	$142.88	$142.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.16 / $33.00 / $45.00	Professional		$29.16	$33.00	$45.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $41.77 / $58.59	Facility		$19.50	$41.77	$58.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $29.07 / $87.33 / $98.00	Professional		$29.07	$87.33	$98.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.05 / $49.32 / $132.30	Professional		$31.05	$49.32	$132.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.62 / $41.85 / $58.59	Facility		$19.62	$41.85	$58.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.07 / $48.24 / $107.20	Professional		$29.07	$48.24	$107.20
United Facility/Professional Professional Modifier Low / Median / High Price $64.03 / $71.14 / $142.28	Professional		$64.03	$71.14	$142.28