Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.80 / $414.06 / $703.50	Facility		$88.80	$414.06	$703.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.00 / $201.00 / $385.80	Professional		$201.00	$201.00	$385.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.75 / $165.75 / $165.75	Facility		$165.75	$165.75	$165.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.34 / $68.97 / $86.21	Professional		$12.34	$68.97	$86.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $43.70 / $43.70 / $43.70	Facility		$43.70	$43.70	$43.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $240.00	Professional		$60.00	$60.00	$240.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.28 / $222.00 / $240.00	Facility		$91.28	$222.00	$240.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $135.00 / $135.00	Professional		$54.00	$135.00	$135.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.70 / $43.70 / $108.07	Facility		$43.70	$43.70	$108.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.66 / $21.66 / $60.00	Professional		$21.66	$21.66	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $10.53 / $120.00 / $181.03	Professional		$10.53	$120.00	$181.03