Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.82 / $200.10 / $338.41	Facility		$63.82	$200.10	$338.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.26 / $98.09 / $112.26	Professional		$25.26	$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 $16.34 / $33.86 / $42.33	Professional		$16.34	$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 / $108.34 / $117.12	Facility		$102.48	$108.34	$117.12
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.35 / $48.80 / $130.12	Professional		$26.35	$48.80	$130.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.54 / $26.54 / $26.54	Facility		$26.54	$26.54	$26.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.28 / $30.90 / $80.52	Professional		$29.28	$30.90	$80.52
United Facility/Professional Professional Modifier Low / Median / High Price $14.64 / $58.56 / $88.34	Professional		$14.64	$58.56	$88.34