Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $177.83 / $316.23	Facility		$91.20	$177.83	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.02 / $43.65	Professional		$10.00	$12.02	$43.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Facility		$36.31	$36.31	$36.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $15.14 / $19.05	Professional		$9.77	$15.14	$19.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $13.18 / $109.65	Facility		$12.02	$13.18	$109.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $52.48	Professional		$13.18	$13.18	$52.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $51.29 / $85.11	Facility		$46.77	$51.29	$85.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $29.51 / $66.07	Professional		$24.55	$29.51	$66.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Facility		$12.02	$12.02	$12.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $13.18 / $16.98	Professional		$9.77	$13.18	$16.98
United Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $26.30 / $39.81	Professional		$8.32	$26.30	$39.81