Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.63 / $108.65 / $288.35	Facility		$81.63	$108.65	$288.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.92 / $83.58 / $95.66	Professional		$22.92	$83.58	$95.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.94 / $68.94 / $68.94	Facility		$68.94	$68.94	$68.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.32 / $28.50 / $35.61	Professional		$18.32	$28.50	$35.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.76 / $21.76 / $21.76	Facility		$21.76	$21.76	$21.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $24.95 / $24.95 / $99.80	Professional		$24.95	$24.95	$99.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.46 / $56.14 / $56.14	Professional		$22.46	$56.14	$56.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.76 / $21.76 / $21.76	Facility		$21.76	$21.76	$21.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.95 / $24.96 / $32.26	Professional		$24.95	$24.96	$32.26
United Facility/Professional Professional Modifier Low / Median / High Price $15.70 / $49.90 / $75.28	Professional		$15.70	$49.90	$75.28