Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.47 / $143.12 / $143.12	Facility		$40.47	$143.12	$143.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $21.10 / $49.85	Professional		$19.00	$21.10	$49.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $19.00 / $19.00	Professional		$19.00	$19.00	$19.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.14 / $35.34 / $116.57	Facility		$20.14	$35.34	$116.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $19.00 / $50.62	Professional		$19.00	$19.00	$50.62
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $148.36 / $233.13	Facility		$39.81	$148.36	$233.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.97 / $127.16 / $127.16	Professional		$105.97	$127.16	$127.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.00 / $35.34 / $211.94	Facility		$19.00	$35.34	$211.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $41.00 / $105.97	Professional		$19.00	$41.00	$105.97
United Facility/Professional Professional Modifier Low / Median / High Price $20.14 / $28.50 / $57.00	Professional		$20.14	$28.50	$57.00