Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $147.91 / $147.91	Facility		$26.92	$147.91	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $41.69	Professional		$21.88	$21.88	$41.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Professional		$22.91	$22.91	$22.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Facility		$22.91	$22.91	$22.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $74.13	Professional		$22.91	$22.91	$74.13
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $50.12 / $79.43	Facility		$41.69	$50.12	$79.43
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 $42.66 / $42.66 / $61.66	Facility		$42.66	$42.66	$61.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $27.54 / $60.26	Professional		$25.12	$27.54	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $34.67 / $562.34	Professional		$22.91	$34.67	$562.34