Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.15 / $235.11 / $367.36	Facility		$130.15	$235.11	$367.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $16.60 / $235.11	Professional		$16.60	$16.60	$235.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.53 / $86.53 / $86.53	Facility		$86.53	$86.53	$86.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.93 / $35.93 / $44.91	Professional		$35.93	$35.93	$44.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.60 / $25.38 / $38.85	Facility		$20.60	$25.38	$38.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $31.33 / $31.33 / $125.32	Professional		$31.33	$31.33	$125.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.66 / $115.92 / $125.32	Facility		$109.66	$115.92	$125.32
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.20 / $47.00 / $125.32	Professional		$28.20	$47.00	$125.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $86.53 / $115.92 / $125.32	Facility		$86.53	$115.92	$125.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.76 / $31.33 / $86.16	Professional		$29.76	$31.33	$86.16
United Facility/Professional Professional Modifier Low / Median / High Price $14.10 / $62.66 / $94.53	Professional		$14.10	$62.66	$94.53