Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $165.96 / $354.81	Facility		$91.20	$165.96	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.02 / $42.66	Professional		$10.00	$12.02	$42.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Facility		$35.48	$35.48	$35.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $14.79 / $18.62	Professional		$9.33	$14.79	$18.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $11.75 / $61.66	Facility		$11.75	$11.75	$61.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $51.29	Professional		$12.88	$12.88	$51.29
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $50.12 / $83.18	Facility		$45.71	$50.12	$83.18
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $28.84 / $63.10	Professional		$23.99	$28.84	$63.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $11.75 / $11.75	Facility		$11.75	$11.75	$11.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $12.88 / $16.60	Professional		$9.33	$12.88	$16.60
United Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $25.70 / $38.90	Professional		$8.13	$25.70	$38.90