Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.96 / $35.39 / $125.13	Facility		$25.96	$35.39	$125.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.18 / $21.98 / $35.75	Professional		$21.18	$21.98	$35.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.51 / $22.51 / $22.51	Professional		$22.51	$22.51	$22.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.51 / $35.75 / $51.12	Facility		$22.51	$35.75	$51.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $30.41 / $30.41 / $40.93	Professional		$30.41	$30.41	$40.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.07 / $37.07 / $58.26	Facility		$37.07	$37.07	$58.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.48 / $31.78 / $31.78	Professional		$26.48	$31.78	$31.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.51 / $35.75 / $52.96	Facility		$22.51	$35.75	$52.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.51 / $26.48 / $31.78	Professional		$22.51	$26.48	$31.78
United Facility/Professional Professional Modifier Low / Median / High Price $23.39 / $33.11 / $66.20	Professional		$23.39	$33.11	$66.20