Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.21 / $68.06 / $240.63	Facility		$41.21	$68.06	$240.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $40.36 / $68.25	Professional		$36.69	$40.36	$68.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $36.69 / $45.00	Professional		$36.69	$36.69	$45.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $37.06 / $68.25 / $97.60	Facility		$37.06	$68.25	$97.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $36.69 / $73.38	Professional		$36.69	$36.69	$73.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.22 / $78.92 / $124.01	Facility		$55.22	$78.92	$124.01
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.37 / $67.64 / $67.64	Professional		$56.37	$67.64	$67.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.69 / $68.25 / $112.74	Facility		$36.69	$68.25	$112.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $46.02 / $64.66	Professional		$36.69	$46.02	$64.66
United Facility/Professional Professional Modifier Low / Median / High Price $38.89 / $55.04 / $110.07	Professional		$38.89	$55.04	$110.07