Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.07 / $63.97 / $91.67	Facility		$30.07	$63.97	$91.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.63 / $35.25 / $67.55	Professional		$17.63	$35.25	$67.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.88 / $39.88 / $39.88	Professional		$39.88	$39.88	$39.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $23.58 / $41.98 / $71.65	Facility		$23.58	$41.98	$71.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $43.68 / $97.52 / $180.43	Professional		$43.68	$97.52	$180.43
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.90 / $72.90 / $3,495.87	Facility		$72.90	$72.90	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.90 / $97.41 / $215.25	Professional		$45.90	$97.41	$215.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.09 / $41.24 / $71.65	Facility		$21.09	$41.24	$71.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.46 / $82.50 / $189.00	Professional		$39.46	$82.50	$189.00
United Facility/Professional Professional Modifier Low / Median / High Price $97.58 / $107.78 / $126.91	Professional		$97.58	$107.78	$126.91