Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $208.93 / $346.74	Facility		$57.54	$208.93	$346.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $26.92 / $97.72	Professional		$22.91	$26.92	$97.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Facility		$81.28	$81.28	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $33.88 / $42.66	Professional		$21.38	$33.88	$42.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $131.83	Facility		$26.92	$26.92	$131.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $117.49	Professional		$29.51	$29.51	$117.49
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $114.82 / $190.55	Facility		$102.33	$114.82	$190.55
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $66.07 / $66.07	Professional		$54.95	$66.07	$66.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Facility		$26.92	$26.92	$26.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $29.51 / $38.02	Professional		$21.38	$29.51	$38.02
United Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $58.88 / $89.13	Professional		$18.62	$58.88	$89.13