Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $416.87 / $977.24	Facility		$74.13	$416.87	$977.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $53.70	Professional		$28.84	$28.84	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Professional		$28.84	$28.84	$28.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $831.76	Facility		$28.84	$28.84	$831.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $93.33	Professional		$28.84	$28.84	$93.33
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $67.61 / $104.71	Facility		$41.69	$67.61	$104.71
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Professional		$27.54	$27.54	$27.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $77.62	Facility		$53.70	$53.70	$77.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $31.62 / $60.26	Professional		$23.44	$31.62	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $43.65 / $316.23	Professional		$28.84	$43.65	$316.23