Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.85 / $213.79 / $363.23	Facility		$45.85	$213.79	$363.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.44 / $103.78 / $118.78	Professional		$28.44	$103.78	$118.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.60 / $85.60 / $85.60	Facility		$85.60	$85.60	$85.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.69 / $35.52 / $44.40	Professional		$22.69	$35.52	$44.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.08 / $28.08 / $28.08	Facility		$28.08	$28.08	$28.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $30.98 / $30.98 / $123.92	Professional		$30.98	$30.98	$123.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $108.43 / $119.27 / $199.84	Facility		$108.43	$119.27	$199.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.88 / $69.70 / $69.70	Professional		$27.88	$69.70	$69.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.08 / $28.08 / $108.43	Facility		$28.08	$28.08	$108.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.98 / $30.99 / $40.04	Professional		$30.98	$30.99	$40.04
United Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $61.96 / $93.47	Professional		$19.48	$61.96	$93.47