Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.30 / $170.77 / $170.77	Facility		$48.30	$170.77	$170.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.91 / $30.00 / $48.79	Professional		$28.91	$30.00	$48.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.72 / $30.72 / $30.72	Professional		$30.72	$30.72	$30.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.03 / $48.79 / $69.77	Facility		$13.03	$48.79	$69.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.96 / $24.23 / $24.23	Professional		$16.96	$24.23	$24.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.60 / $50.60 / $79.51	Facility		$50.60	$50.60	$79.51
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.14 / $43.37 / $43.37	Professional		$36.14	$43.37	$43.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $48.79 / $72.28	Facility		$30.00	$48.79	$72.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.23 / $36.00 / $43.37	Professional		$24.23	$36.00	$43.37
United Facility/Professional Professional Modifier Low / Median / High Price $31.80 / $45.00 / $90.00	Professional		$31.80	$45.00	$90.00