Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.29 / $174.27 / $174.27	Facility		$49.29	$174.27	$174.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.50 / $30.61 / $49.79	Professional		$29.50	$30.61	$49.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.35 / $31.35 / $31.35	Professional		$31.35	$31.35	$31.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $24.69 / $49.79 / $71.20	Facility		$24.69	$49.79	$71.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $31.26 / $44.65 / $44.65	Professional		$31.26	$44.65	$44.65
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.63 / $51.63 / $81.14	Facility		$51.63	$51.63	$81.14
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.88 / $44.26 / $44.26	Professional		$36.88	$44.26	$44.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.69 / $49.79 / $73.76	Facility		$24.69	$49.79	$73.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.35 / $36.88 / $44.65	Professional		$31.35	$36.88	$44.65
United Facility/Professional Professional Modifier Low / Median / High Price $32.57 / $46.10 / $92.19	Professional		$32.57	$46.10	$92.19