Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.67 / $198.96 / $338.03	Facility		$42.67	$198.96	$338.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.44 / $96.58 / $110.53	Professional		$26.44	$96.58	$110.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.65 / $79.65 / $79.65	Facility		$79.65	$79.65	$79.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.06 / $33.04 / $41.30	Professional		$21.06	$33.04	$41.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26.15 / $26.15 / $26.15	Facility		$26.15	$26.15	$26.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.83 / $28.83 / $115.32	Professional		$28.83	$28.83	$115.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.91 / $111.00 / $186.00	Facility		$100.91	$111.00	$186.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.95 / $64.87 / $448.73	Professional		$25.95	$64.87	$448.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.15 / $26.15 / $100.91	Facility		$26.15	$26.15	$100.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.83 / $28.84 / $37.28	Professional		$28.83	$28.84	$37.28
United Facility/Professional Professional Modifier Low / Median / High Price $18.13 / $57.66 / $86.99	Professional		$18.13	$57.66	$86.99