Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $39.81 / $134.90	Facility		$20.89	$39.81	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $20.42 / $38.02	Professional		$19.95	$20.42	$38.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Professional		$20.42	$20.42	$20.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $24.55	Facility		$20.42	$20.42	$24.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $66.07	Professional		$20.42	$20.42	$66.07
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $31.62 / $50.12	Facility		$20.42	$31.62	$50.12
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Professional		$19.95	$19.95	$19.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $54.95	Facility		$38.02	$38.02	$54.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $22.39 / $60.26	Professional		$20.42	$22.39	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $30.90 / $41.69	Professional		$20.42	$30.90	$41.69