Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $169.82 / $169.82	Facility		$47.86	$169.82	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $45.71	Professional		$25.70	$25.70	$45.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $26.30	Professional		$26.30	$26.30	$26.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $31.62 / $72.44	Facility		$26.30	$31.62	$72.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $32.36 / $83.18	Professional		$26.30	$32.36	$83.18
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $263.03 / $416.87	Facility		$26.30	$263.03	$416.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $229.09 / $229.09	Professional		$190.55	$229.09	$229.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $34.67 / $144.54	Facility		$22.39	$34.67	$144.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $60.26	Professional		$28.18	$28.18	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $38.90 / $74.13	Professional		$26.30	$38.90	$74.13