Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.46 / $220.93 / $269.43	Facility		$95.46	$220.93	$269.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $76.98 / $88.11	Professional		$15.49	$76.98	$88.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $63.50 / $63.50	Facility		$63.50	$63.50	$63.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.34 / $26.43 / $33.04	Professional		$12.34	$26.43	$33.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.73 / $16.73 / $16.73	Facility		$16.73	$16.73	$16.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.98 / $22.98 / $91.92	Professional		$22.98	$22.98	$91.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.43 / $88.47 / $108.78	Facility		$80.43	$88.47	$108.78
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.68 / $51.71 / $51.71	Professional		$20.68	$51.71	$51.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.73 / $16.73 / $63.50	Facility		$16.73	$16.73	$63.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.68 / $21.80 / $24.37	Professional		$20.68	$21.80	$24.37
United Facility/Professional Professional Modifier Low / Median / High Price $10.61 / $45.96 / $69.34	Professional		$10.61	$45.96	$69.34