Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.62 / $187.09 / $317.87	Facility		$112.62	$187.09	$317.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.82 / $90.82 / $90.82	Professional		$90.82	$90.82	$90.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.89 / $74.89 / $74.89	Facility		$74.89	$74.89	$74.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.39 / $31.39 / $39.24	Professional		$31.39	$31.39	$39.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.82 / $21.96 / $33.61	Facility		$17.82	$21.96	$33.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $27.11 / $27.11 / $108.44	Professional		$27.11	$27.11	$108.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $94.88 / $100.31 / $108.44	Facility		$94.88	$100.31	$108.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.40 / $40.67 / $108.44	Professional		$24.40	$40.67	$108.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.89 / $21.96 / $49.61	Facility		$17.89	$21.96	$49.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.75 / $27.11 / $74.55	Professional		$25.75	$27.11	$74.55
United Facility/Professional Professional Modifier Low / Median / High Price $12.20 / $54.22 / $81.80	Professional		$12.20	$54.22	$81.80