Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.35 / $68.22 / $241.19	Facility		$40.35	$68.22	$241.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.67 / $44.38 / $68.20	Professional		$36.67	$44.38	$68.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.67 / $36.67 / $36.67	Professional		$36.67	$36.67	$36.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $37.04 / $68.20 / $690.00	Facility		$37.04	$68.20	$690.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $36.67 / $36.67 / $75.13	Professional		$36.67	$36.67	$75.13
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.64 / $86.91 / $136.58	Facility		$70.64	$86.91	$136.58
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.08 / $74.50 / $74.50	Professional		$62.08	$74.50	$74.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $68.20 / $68.29 / $204.86	Facility		$68.20	$68.29	$204.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.67 / $52.78 / $74.50	Professional		$36.67	$52.78	$74.50
United Facility/Professional Professional Modifier Low / Median / High Price $38.86 / $55.01 / $110.01	Professional		$38.86	$55.01	$110.01