Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $64.57 / $112.20	Facility		$20.42	$64.57	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $32.36	Professional		$16.98	$16.98	$32.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $17.38	Professional		$17.38	$17.38	$17.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $17.38 / $20.89	Facility		$17.38	$17.38	$20.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $54.95	Professional		$17.38	$17.38	$54.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $54.95 / $85.11	Facility		$26.92	$54.95	$85.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $17.78	Professional		$17.78	$17.78	$17.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $45.71	Facility		$32.36	$32.36	$45.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $18.62 / $60.26	Professional		$17.78	$18.62	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $25.70 / $138.04	Professional		$17.38	$25.70	$138.04