Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $213.80 / $213.80	Facility		$38.02	$213.80	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $48.98	Professional		$32.36	$33.11	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $33.11	Professional		$33.11	$33.11	$33.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $61.66	Facility		$33.11	$33.11	$61.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $40.74 / $81.28	Professional		$33.11	$40.74	$81.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $64.57 / $100.00	Facility		$33.11	$64.57	$100.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $54.95 / $54.95	Professional		$45.71	$54.95	$54.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $45.71 / $72.44	Facility		$33.11	$45.71	$72.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $60.26	Professional		$33.11	$33.11	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $48.98 / $83.18	Professional		$33.11	$48.98	$83.18