Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.19 / $40.90 / $144.59	Facility		$22.19	$40.90	$144.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.68 / $24.79 / $41.92	Professional		$19.68	$24.79	$41.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.54 / $22.54 / $22.54	Professional		$22.54	$22.54	$22.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.77 / $41.92 / $59.95	Facility		$22.77	$41.92	$59.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.54 / $22.54 / $45.08	Professional		$22.54	$22.54	$45.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.54 / $35.00 / $55.00	Facility		$32.54	$35.00	$55.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $30.00 / $30.00	Professional		$25.00	$30.00	$30.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.54 / $41.92 / $59.95	Facility		$22.54	$41.92	$59.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.54 / $24.82 / $28.70	Professional		$22.54	$24.82	$28.70
United Facility/Professional Professional Modifier Low / Median / High Price $22.54 / $33.81 / $67.62	Professional		$22.54	$33.81	$67.62