Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.74 / $204.27 / $343.01	Facility		$92.74	$204.27	$343.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.28 / $35.24 / $91.19	Professional		$31.28	$35.24	$91.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.18 / $75.18 / $75.18	Facility		$75.18	$75.18	$75.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.60 / $31.39 / $39.24	Professional		$19.60	$31.39	$39.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.82 / $19.82 / $19.82	Facility		$19.82	$19.82	$19.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $27.22 / $27.22 / $108.88	Professional		$27.22	$27.22	$108.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.27 / $104.80 / $172.77	Facility		$95.27	$104.80	$172.77
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.50 / $55.13 / $132.32	Professional		$24.50	$55.13	$132.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.82 / $19.82 / $95.27	Facility		$19.82	$19.82	$95.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.79 / $34.63 / $74.86	Professional		$26.79	$34.63	$74.86
United Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $54.44 / $82.13	Professional		$12.49	$54.44	$82.13