Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.62 / $26.73 / $94.12	Facility		$26.62	$26.73	$94.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.89 / $30.16 / $33.71	Professional		$26.89	$30.16	$33.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $54.65	Professional		$16.22	$16.22	$54.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.03 / $17.03 / $17.03	Facility		$17.03	$17.03	$17.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $40.54	Professional		$16.22	$16.22	$40.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.16 / $90.01 / $141.44	Facility		$24.16	$90.01	$141.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.36 / $70.72 / $77.15	Professional		$53.36	$70.72	$77.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.03 / $17.03 / $90.01	Facility		$17.03	$17.03	$90.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $17.60 / $70.72	Professional		$16.22	$17.60	$70.72
United Facility/Professional Professional Modifier Low / Median / High Price $22.71 / $24.33 / $48.66	Professional		$22.71	$24.33	$48.66