Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $89.13 / $208.93	Facility		$18.62	$89.13	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $25.12	Professional		$12.88	$12.88	$25.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $13.80	Professional		$13.80	$13.80	$13.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $13.80 / $25.70	Facility		$13.80	$13.80	$25.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $44.67	Professional		$13.80	$13.80	$44.67
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $41.69 / $66.07	Facility		$26.30	$41.69	$66.07
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $17.38	Professional		$17.38	$17.38	$17.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $37.15	Facility		$25.70	$25.70	$37.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $15.14 / $60.26	Professional		$13.49	$15.14	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $20.89 / $436.52	Professional		$13.80	$20.89	$436.52