Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.18 / $206.95 / $314.13	Facility		$112.18	$206.95	$314.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.58 / $89.75 / $102.71	Professional		$24.58	$89.75	$102.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.98 / $73.98 / $73.98	Facility		$73.98	$73.98	$73.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.60 / $30.98 / $38.72	Professional		$19.60	$30.98	$38.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $24.28 / $24.28 / $24.28	Facility		$24.28	$24.28	$24.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.79 / $26.79 / $107.16	Professional		$26.79	$26.79	$107.16
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.77 / $103.14 / $172.77	Facility		$93.77	$103.14	$172.77
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.11 / $60.28 / $60.28	Professional		$24.11	$60.28	$60.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.28 / $24.28 / $93.77	Facility		$24.28	$24.28	$93.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.79 / $26.79 / $38.69	Professional		$26.79	$26.79	$38.69
United Facility/Professional Professional Modifier Low / Median / High Price $16.82 / $53.58 / $80.83	Professional		$16.82	$53.58	$80.83