Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.54 / $181.19 / $277.20	Facility		$40.54	$181.19	$277.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.51 / $91.76 / $105.01	Professional		$18.51	$91.76	$105.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.65 / $75.65 / $75.65	Facility		$75.65	$75.65	$75.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.70 / $31.80 / $39.75	Professional		$14.70	$31.80	$39.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Facility		$19.95	$19.95	$19.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $27.39 / $27.39 / $109.56	Professional		$27.39	$27.39	$109.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.87 / $101.34 / $129.72	Facility		$95.87	$101.34	$129.72
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.65 / $61.63 / $61.63	Professional		$24.65	$61.63	$61.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $75.65	Facility		$19.95	$19.95	$75.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.65 / $26.00 / $29.05	Professional		$24.65	$26.00	$29.05
United Facility/Professional Professional Modifier Low / Median / High Price $12.64 / $54.78 / $82.64	Professional		$12.64	$54.78	$82.64