Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.03 / $57.22 / $202.30	Facility		$34.03	$57.22	$202.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $33.85 / $57.25	Professional		$30.78	$33.85	$57.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $30.78 / $30.78	Professional		$30.78	$30.78	$30.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $31.08 / $57.25 / $81.87	Facility		$31.08	$57.25	$81.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $30.78 / $61.56	Professional		$30.78	$30.78	$61.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.87 / $53.23 / $83.64	Facility		$45.87	$53.23	$83.64
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $45.62 / $45.62	Professional		$38.02	$45.62	$45.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.78 / $57.25 / $81.87	Facility		$30.78	$57.25	$81.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $37.99 / $45.62	Professional		$30.78	$37.99	$45.62
United Facility/Professional Professional Modifier Low / Median / High Price $32.63 / $46.17 / $92.34	Professional		$32.63	$46.17	$92.34