Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.03 / $272.76 / $357.77	Facility		$98.03	$272.76	$357.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $79.06 / $90.48	Professional		$15.14	$79.06	$90.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.20 / $65.20 / $65.20	Facility		$65.20	$65.20	$65.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.98 / $27.26 / $34.07	Professional		$11.98	$27.26	$34.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.19 / $17.19 / $17.19	Facility		$17.19	$17.19	$17.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.60 / $23.60 / $94.40	Professional		$23.60	$23.60	$94.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $82.60 / $89.64 / $106.13	Facility		$82.60	$89.64	$106.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.24 / $53.10 / $53.10	Professional		$21.24	$53.10	$53.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.19 / $17.19 / $82.60	Facility		$17.19	$17.19	$82.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.24 / $21.27 / $23.60	Professional		$21.24	$21.27	$23.60
United Facility/Professional Professional Modifier Low / Median / High Price $10.35 / $47.20 / $71.20	Professional		$10.35	$47.20	$71.20