Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.00 / $205.00 / $346.26	Facility		$58.00	$205.00	$346.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.17 / $98.93 / $113.22	Professional		$27.17	$98.93	$113.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.56 / $81.56 / $81.56	Facility		$81.56	$81.56	$81.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.60 / $33.86 / $42.33	Professional		$21.60	$33.86	$42.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26.77 / $26.77 / $26.77	Facility		$26.77	$26.77	$26.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $29.53 / $29.53 / $118.12	Professional		$29.53	$29.53	$118.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $103.36 / $113.69 / $190.50	Facility		$103.36	$113.69	$190.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.58 / $66.44 / $66.44	Professional		$26.58	$66.44	$66.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.77 / $26.77 / $103.36	Facility		$26.77	$26.77	$103.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.53 / $29.53 / $42.67	Professional		$29.53	$29.53	$42.67
United Facility/Professional Professional Modifier Low / Median / High Price $18.57 / $59.06 / $89.10	Professional		$18.57	$59.06	$89.10