Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.94 / $59.45 / $210.18	Facility		$32.94	$59.45	$210.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $32.17 / $49.68	Professional		$26.71	$32.17	$49.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $26.71 / $32.76	Professional		$26.71	$26.71	$32.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.31 / $49.68 / $71.04	Facility		$28.31	$49.68	$71.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $26.71 / $54.23	Professional		$26.71	$26.71	$54.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.56 / $86.67 / $136.19	Facility		$44.56	$86.67	$136.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.91 / $74.29 / $74.29	Professional		$61.91	$74.29	$74.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.42 / $68.09 / $123.82	Facility		$46.42	$68.09	$123.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $37.10 / $61.91	Professional		$26.71	$37.10	$61.91
United Facility/Professional Professional Modifier Low / Median / High Price $28.31 / $40.07 / $80.13	Professional		$28.31	$40.07	$80.13