Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.33 / $32.90 / $61.52	Professional		$26.33	$32.90	$61.52
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $50.51 / $50.51 / $50.51	Professional	25	$50.51	$50.51	$50.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.57 / $28.57 / $28.57	Professional		$28.57	$28.57	$28.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $33.93 / $56.97 / $81.89	Facility		$33.93	$56.97	$81.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $71.42 / $89.57 / $148.32	Professional		$71.42	$89.57	$148.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.55 / $125.55 / $3,495.87	Facility		$125.55	$125.55	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.03 / $120.90 / $171.36	Professional		$66.03	$120.90	$171.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.48 / $56.97 / $81.89	Facility		$29.48	$56.97	$81.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.72 / $83.70 / $167.40	Professional		$39.72	$83.70	$167.40
United Facility/Professional Professional Modifier Low / Median / High Price $78.90 / $93.44 / $121.52	Professional		$78.90	$93.44	$121.52