Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $151.36 / $151.36	Facility		$27.54	$151.36	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $41.69	Professional		$22.91	$22.91	$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 / $26.30 / $57.54	Facility		$22.91	$26.30	$57.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $28.84 / $57.54	Professional		$22.91	$28.84	$57.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $66.07 / $102.33	Facility		$31.62	$66.07	$102.33
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $56.23 / $56.23	Professional		$46.77	$56.23	$56.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $33.11 / $85.11	Facility		$22.91	$33.11	$85.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $16.60 / $38.02	Professional		$16.60	$16.60	$38.02
United Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $34.67 / $69.18	Professional		$22.91	$34.67	$69.18