Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.92 / $236.04 / $13,526.47	Facility		$36.92	$236.04	$13,526.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.28 / $39.90 / $67.47	Professional		$36.28	$39.90	$67.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.28 / $36.28 / $36.28	Professional		$36.28	$36.28	$36.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $36.64 / $67.47 / $96.48	Facility		$36.64	$67.47	$96.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $36.28 / $44.14 / $90.70	Professional		$36.28	$44.14	$90.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.49 / $57.50 / $90.35	Facility		$53.49	$57.50	$90.35
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.07 / $49.28 / $49.28	Professional		$41.07	$49.28	$49.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.28 / $67.47 / $96.48	Facility		$36.28	$67.47	$96.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.28 / $41.60 / $48.07	Professional		$36.28	$41.60	$48.07
United Facility/Professional Professional Modifier Low / Median / High Price $38.46 / $54.42 / $108.84	Professional		$38.46	$54.42	$108.84