Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $257.04 / $436.52	Facility		$40.74	$257.04	$436.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $33.88 / $120.23	Professional		$28.18	$33.88	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Facility		$97.72	$97.72	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $40.74 / $51.29	Professional		$19.50	$40.74	$51.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $26.30 / $40.74	Facility		$26.30	$26.30	$40.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $144.54	Professional		$35.48	$35.48	$144.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $131.83 / $144.54	Facility		$97.72	$131.83	$144.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $81.28 / $81.28	Professional		$37.15	$81.28	$81.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $26.30 / $26.30	Facility		$26.30	$26.30	$26.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $32.36 / $35.48	Professional		$19.50	$32.36	$35.48
United Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $70.79 / $107.15	Professional		$16.98	$70.79	$107.15