Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $93.33 / $275.42	Facility		$56.23	$93.33	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $26.92 / $100.00	Professional		$21.88	$26.92	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Facility		$81.28	$81.28	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $34.67 / $42.66	Professional		$21.88	$34.67	$42.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $29.51 / $239.88	Facility		$25.70	$29.51	$239.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $35.48 / $117.49	Professional		$29.51	$35.48	$117.49
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $114.82 / $190.55	Facility		$104.71	$114.82	$190.55
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $66.07 / $144.54	Professional		$54.95	$66.07	$144.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Facility		$25.70	$25.70	$25.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $29.51 / $30.90	Professional		$21.88	$29.51	$30.90
United Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $58.88 / $89.13	Professional		$18.62	$58.88	$89.13