Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.18 / $196.69 / $334.18	Facility		$42.18	$196.69	$334.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.48 / $95.48 / $183.26	Professional		$95.48	$95.48	$183.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.75 / $78.75 / $78.75	Facility		$78.75	$78.75	$78.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.23 / $32.63 / $40.78	Professional		$19.23	$32.63	$40.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.84 / $30.84 / $30.84	Facility		$30.84	$30.84	$30.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.50 / $28.50 / $114.00	Professional		$28.50	$28.50	$114.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $99.75 / $109.73 / $169.64	Facility		$99.75	$109.73	$169.64
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.65 / $64.13 / $64.13	Professional		$25.65	$64.13	$64.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.84 / $30.84 / $99.75	Facility		$30.84	$30.84	$99.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $28.50 / $34.00	Professional		$26.30	$28.50	$34.00
United Facility/Professional Professional Modifier Low / Median / High Price $16.54 / $57.00 / $64.94	Professional		$16.54	$57.00	$64.94