Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $97.72 / $645.65	Facility		$47.86	$97.72	$645.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $20.42 / $38.02	Professional		$19.95	$20.42	$38.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Professional		$20.42	$20.42	$20.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $134.90	Facility		$20.42	$20.42	$134.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $66.07	Professional		$20.42	$20.42	$66.07
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $134.90 / $213.80	Facility		$42.66	$134.90	$213.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Professional		$28.18	$28.18	$28.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $54.95	Facility		$38.02	$38.02	$54.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $22.39 / $60.26	Professional		$16.22	$22.39	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $30.90 / $1,288.25	Professional		$20.42	$30.90	$1,288.25