Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $302.00 / $389.05	Facility		$100.00	$302.00	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $25.12 / $87.10	Professional		$20.89	$25.12	$87.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Facility		$72.44	$72.44	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $30.20 / $38.02	Professional		$14.13	$30.20	$38.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $26.30 / $363.08	Facility		$19.05	$26.30	$363.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $26.30 / $104.71	Professional		$25.12	$26.30	$104.71
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $100.00 / $125.89	Facility		$91.20	$100.00	$125.89
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $58.88 / $104.71	Professional		$38.90	$58.88	$104.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Facility		$19.05	$19.05	$19.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $23.44 / $26.30	Professional		$14.13	$23.44	$26.30
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $52.48 / $79.43	Professional		$12.30	$52.48	$79.43