Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.70 / $186.31 / $186.31	Facility		$52.70	$186.31	$186.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.98 / $30.79 / $52.06	Professional		$27.98	$30.79	$52.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $27.99 / $27.99	Professional		$27.99	$27.99	$27.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.62 / $52.06 / $106.58	Facility		$28.62	$52.06	$106.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $27.99 / $62.98	Professional		$27.99	$27.99	$62.98
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.64 / $135.65 / $213.16	Facility		$28.64	$135.65	$213.16
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.89 / $116.27 / $116.27	Professional		$96.89	$116.27	$116.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.99 / $52.06 / $193.78	Facility		$27.99	$52.06	$193.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $27.99 / $106.58	Professional		$23.00	$27.99	$106.58
United Facility/Professional Professional Modifier Low / Median / High Price $29.67 / $41.99 / $83.97	Professional		$29.67	$41.99	$83.97