Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.28 / $206.47 / $350.81	Facility		$44.28	$206.47	$350.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.23 / $100.23 / $192.39	Professional		$100.23	$100.23	$192.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.66 / $82.66 / $82.66	Facility		$82.66	$82.66	$82.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.98 / $34.28 / $59.64	Professional		$28.98	$34.28	$59.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.79 / $21.79 / $21.79	Facility		$21.79	$21.79	$21.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.93 / $89.76 / $119.68	Professional		$26.93	$89.76	$119.68
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.72 / $115.19 / $144.57	Facility		$104.72	$115.19	$144.57
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.93 / $67.31 / $67.31	Professional		$26.93	$67.31	$67.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.79 / $21.79 / $104.72	Facility		$21.79	$21.79	$104.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.98 / $28.98 / $32.39	Professional		$28.98	$28.98	$32.39
United Facility/Professional Professional Modifier Low / Median / High Price $14.09 / $59.84 / $90.27	Professional		$14.09	$59.84	$90.27