Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.71 / $183.92 / $308.02	Facility		$110.71	$183.92	$308.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.64 / $89.28 / $102.18	Professional		$22.64	$89.28	$102.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.61 / $73.61 / $73.61	Facility		$73.61	$73.61	$73.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.97 / $30.56 / $38.20	Professional		$17.97	$30.56	$38.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.30 / $22.30 / $22.30	Facility		$22.30	$22.30	$22.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.65 / $26.65 / $106.60	Professional		$26.65	$26.65	$106.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.27 / $102.60 / $158.65	Facility		$93.27	$102.60	$158.65
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $59.96 / $59.96	Professional		$23.99	$59.96	$59.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.30 / $22.30 / $93.27	Facility		$22.30	$22.30	$93.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.60 / $31.80 / $35.53	Professional		$24.60	$31.80	$35.53
United Facility/Professional Professional Modifier Low / Median / High Price $15.46 / $53.30 / $80.41	Professional		$15.46	$53.30	$80.41