Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $24.55 / $114.82	Facility		$23.44	$24.55	$114.82
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 $17.78 / $17.78 / $17.78	Professional		$17.78	$17.78	$17.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $21.38	Facility		$17.78	$17.78	$21.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $57.54	Professional		$17.78	$17.78	$57.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $38.02 / $58.88	Facility		$34.67	$38.02	$58.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Professional		$22.91	$22.91	$22.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $46.77	Facility		$33.11	$33.11	$46.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $19.05 / $60.26	Professional		$14.79	$19.05	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $26.30 / $186.21	Professional		$17.78	$26.30	$186.21