Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.33 / $202.07 / $343.32	Facility		$43.33	$202.07	$343.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.89 / $98.09 / $112.26	Professional		$26.89	$98.09	$112.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.88 / $80.88 / $80.88	Facility		$80.88	$80.88	$80.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.42 / $33.86 / $42.33	Professional		$21.42	$33.86	$42.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26.54 / $26.54 / $26.54	Facility		$26.54	$26.54	$26.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $29.28 / $29.28 / $117.12	Professional		$29.28	$29.28	$117.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.48 / $112.73 / $188.84	Facility		$102.48	$112.73	$188.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.35 / $65.88 / $65.88	Professional		$26.35	$65.88	$65.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.54 / $26.54 / $102.48	Facility		$26.54	$26.54	$102.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.28 / $37.85 / $42.29	Professional		$29.28	$37.85	$42.29
United Facility/Professional Professional Modifier Low / Median / High Price $18.41 / $58.56 / $88.34	Professional		$18.41	$58.56	$88.34