Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.00 / $210.15 / $392.27	Facility		$76.00	$210.15	$392.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.23 / $113.70 / $130.13	Professional		$31.23	$113.70	$130.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.76 / $93.76 / $93.76	Facility		$93.76	$93.76	$93.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.87 / $39.24 / $49.04	Professional		$24.87	$39.24	$49.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $29.59 / $29.59 / $29.59	Facility		$29.59	$29.59	$29.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.94 / $33.94 / $135.76	Professional		$33.94	$33.94	$135.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $118.79 / $130.66 / $218.94	Facility		$118.79	$130.66	$218.94
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.55 / $76.37 / $76.37	Professional		$30.55	$76.37	$76.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.59 / $29.59 / $118.79	Facility		$29.59	$29.59	$118.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.94 / $43.88 / $49.04	Professional		$33.94	$43.88	$49.04
United Facility/Professional Professional Modifier Low / Median / High Price $21.34 / $67.88 / $102.40	Professional		$21.34	$67.88	$102.40