Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.94 / $54.51 / $192.71	Facility		$45.94	$54.51	$192.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $29.90 / $49.33	Professional		$23.88	$29.90	$49.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $23.88 / $28.41	Professional		$23.88	$23.88	$28.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.31 / $44.41 / $590.54	Facility		$25.31	$44.41	$590.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $23.88 / $56.65	Professional		$23.88	$23.88	$56.65
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.81 / $121.84 / $191.47	Facility		$91.81	$121.84	$191.47
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.03 / $104.44 / $104.44	Professional		$87.03	$104.44	$104.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.41 / $62.17 / $287.20	Facility		$44.41	$62.17	$287.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $51.74 / $95.66	Professional		$23.88	$51.74	$95.66
United Facility/Professional Professional Modifier Low / Median / High Price $25.31 / $35.82 / $71.64	Professional		$25.31	$35.82	$71.64