Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $54.95 / $87.10	Facility		$46.77	$54.95	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $13.49 / $25.12	Professional		$12.88	$13.49	$25.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $13.49	Professional		$13.49	$13.49	$13.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $13.49 / $46.77	Facility		$13.49	$13.49	$46.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $43.65	Professional		$13.49	$13.49	$43.65
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $41.69 / $66.07	Facility		$16.22	$41.69	$66.07
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $10.72 / $10.72	Professional		$10.72	$10.72	$10.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $35.48	Facility		$25.12	$25.12	$35.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.79 / $60.26	Professional		$12.02	$14.79	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $20.42 / $27.54	Professional		$13.49	$20.42	$27.54