Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $245.47 / $380.19	Facility		$134.90	$245.47	$380.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $28.84 / $104.71	Professional		$25.12	$28.84	$104.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $44.67	Professional		$36.31	$36.31	$44.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $31.62 / $104.71	Facility		$20.89	$31.62	$104.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $100.00	Professional		$31.62	$31.62	$100.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $114.82 / $125.89	Facility		$109.65	$114.82	$125.89
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $70.79 / $70.79	Professional		$46.77	$70.79	$70.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $25.70 / $57.54	Facility		$20.89	$25.70	$57.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $31.62	Professional		$29.51	$29.51	$31.62
United Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $63.10 / $95.50	Professional		$14.13	$63.10	$95.50