Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.04 / $159.15 / $342.00	Facility		$71.04	$159.15	$342.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $71.05 / $98.00	Professional		$15.14	$71.05	$98.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.61 / $58.61 / $58.61	Facility		$58.61	$58.61	$58.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.98 / $24.37 / $30.46	Professional		$11.98	$24.37	$30.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.45 / $15.45 / $15.45	Facility		$15.45	$15.45	$15.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.21 / $21.21 / $84.84	Professional		$21.21	$21.21	$84.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.23 / $81.66 / $106.13	Facility		$74.23	$81.66	$106.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.09 / $47.72 / $311.00	Professional		$19.09	$47.72	$311.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.45 / $15.45 / $74.23	Facility		$15.45	$15.45	$74.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.09 / $21.21 / $23.78	Professional		$19.09	$21.21	$23.78
United Facility/Professional Professional Modifier Low / Median / High Price $10.35 / $42.42 / $64.00	Professional		$10.35	$42.42	$64.00