Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $194.98 / $331.13	Facility		$39.81	$194.98	$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 $12.59 / $31.62 / $38.90	Professional		$12.59	$31.62	$38.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $26.92 / $123.03	Facility		$11.48	$26.92	$123.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $109.65	Professional		$26.92	$26.92	$109.65
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $100.00 / $117.49	Facility		$95.50	$100.00	$117.49
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $61.66 / $61.66	Professional		$37.15	$61.66	$61.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $11.48 / $11.48	Facility		$11.48	$11.48	$11.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $24.55 / $26.92	Professional		$12.59	$24.55	$26.92
United Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $53.70 / $81.28	Professional		$10.96	$53.70	$81.28