Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.06 / $209.66 / $448.64	Facility		$116.06	$209.66	$448.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.44 / $93.60 / $93.60	Professional		$25.44	$93.60	$93.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.18 / $77.18 / $77.18	Facility		$77.18	$77.18	$77.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.52 / $31.80 / $39.75	Professional		$14.52	$31.80	$39.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.33 / $25.33 / $25.33	Facility		$25.33	$25.33	$25.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $27.94 / $27.94 / $111.76	Professional		$27.94	$27.94	$111.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.79 / $103.38 / $111.76	Facility		$97.79	$103.38	$111.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.15 / $41.91 / $111.76	Professional		$25.15	$41.91	$111.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.33 / $25.33 / $25.33	Facility		$25.33	$25.33	$25.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.54 / $27.94 / $76.84	Professional		$26.54	$27.94	$76.84
United Facility/Professional Professional Modifier Low / Median / High Price $12.57 / $55.88 / $84.30	Professional		$12.57	$55.88	$84.30