Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.44 / $192.05 / $312.30	Facility		$86.44	$192.05	$312.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.85 / $94.14 / $117.67	Professional		$25.85	$94.14	$117.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.65 / $77.65 / $77.65	Facility		$77.65	$77.65	$77.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.69 / $32.21 / $40.27	Professional		$20.69	$32.21	$40.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.47 / $25.47 / $25.47	Facility		$25.47	$25.47	$25.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.10 / $28.10 / $112.40	Professional		$28.10	$28.10	$112.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $98.35 / $108.19 / $181.26	Facility		$98.35	$108.19	$181.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.29 / $63.23 / $345.00	Professional		$25.29	$63.23	$345.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.47 / $25.47 / $98.35	Facility		$25.47	$25.47	$98.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.10 / $36.33 / $40.60	Professional		$28.10	$36.33	$40.60
United Facility/Professional Professional Modifier Low / Median / High Price $17.66 / $56.20 / $84.78	Professional		$17.66	$56.20	$84.78