Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.51 / $185.64 / $185.64	Facility		$52.51	$185.64	$185.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $32.61 / $53.04	Professional		$28.52	$32.61	$53.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $28.52 / $28.52	Professional		$28.52	$28.52	$28.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.80 / $53.04 / $75.84	Facility		$28.80	$53.04	$75.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $29.95 / $71.30	Professional		$28.52	$29.95	$71.30
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.73 / $53.73 / $84.44	Facility		$53.73	$53.73	$84.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.38 / $46.06 / $46.06	Professional		$38.38	$46.06	$46.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.52 / $53.04 / $76.76	Facility		$28.52	$53.04	$76.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $38.39 / $46.06	Professional		$28.52	$38.39	$46.06
United Facility/Professional Professional Modifier Low / Median / High Price $30.23 / $42.78 / $85.56	Professional		$30.23	$42.78	$85.56