Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $208.93 / $331.13	Facility		$117.49	$208.93	$331.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $25.12 / $89.13	Professional		$20.89	$25.12	$89.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Facility		$74.13	$74.13	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $38.90	Professional		$31.62	$31.62	$38.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $26.92 / $123.03	Facility		$19.95	$26.92	$123.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $48.98 / $89.13	Professional		$26.92	$48.98	$89.13
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $100.00 / $109.65	Facility		$95.50	$100.00	$109.65
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $61.66 / $61.66	Professional		$40.74	$61.66	$61.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $22.39 / $50.12	Facility		$17.78	$22.39	$50.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $26.92	Professional		$25.70	$25.70	$26.92
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $53.70 / $81.28	Professional		$12.30	$53.70	$81.28