Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.56 / $175.64 / $366.69	Facility		$91.56	$175.64	$366.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.42 / $85.26 / $97.58	Professional		$23.42	$85.26	$97.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.30 / $70.30 / $70.30	Facility		$70.30	$70.30	$70.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.70 / $29.32 / $36.65	Professional		$18.70	$29.32	$36.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $23.07 / $23.07 / $23.07	Facility		$23.07	$23.07	$23.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.45 / $25.45 / $101.80	Professional		$25.45	$25.45	$101.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.08 / $97.98 / $164.10	Facility		$89.08	$97.98	$164.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $57.26 / $57.26	Professional		$22.91	$57.26	$57.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.07 / $23.07 / $89.08	Facility		$23.07	$23.07	$89.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.45 / $25.45 / $32.89	Professional		$25.45	$25.45	$32.89
United Facility/Professional Professional Modifier Low / Median / High Price $15.99 / $50.90 / $62.84	Professional		$15.99	$50.90	$62.84