Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.79 / $244.25 / $413.07	Facility		$40.79	$244.25	$413.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.22 / $119.73 / $119.73	Professional		$35.22	$119.73	$119.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.73 / $98.73 / $98.73	Facility		$98.73	$98.73	$98.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.60 / $40.89 / $51.11	Professional		$19.60	$40.89	$51.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26.03 / $26.03 / $26.03	Facility		$26.03	$26.03	$26.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $35.74 / $35.74 / $142.96	Professional		$35.74	$35.74	$142.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $98.60 / $132.24 / $142.96	Facility		$98.60	$132.24	$142.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.17 / $80.42 / $80.42	Professional		$32.17	$80.42	$80.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.03 / $26.03 / $98.73	Facility		$26.03	$26.03	$98.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.40 / $26.15 / $35.74	Professional		$23.40	$26.15	$35.74
United Facility/Professional Professional Modifier Low / Median / High Price $16.82 / $71.48 / $107.84	Professional		$16.82	$71.48	$107.84