Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $213.80 / $213.80	Facility		$44.67	$213.80	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $37.15 / $45.71	Professional		$30.90	$37.15	$45.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Professional		$38.90	$38.90	$38.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $42.66 / $87.10	Facility		$31.62	$42.66	$87.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $52.48 / $70.79	Professional		$36.31	$52.48	$70.79
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $100.00	Facility		$64.57	$64.57	$100.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $54.95 / $54.95	Professional		$45.71	$54.95	$54.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $44.67 / $66.07	Facility		$38.02	$44.67	$66.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $52.48	Professional		$38.90	$38.90	$52.48
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $57.54 / $107.15	Professional		$38.02	$57.54	$107.15