Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $213.80 / $363.08	Facility		$44.67	$213.80	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $28.18 / $100.00	Professional		$23.99	$28.18	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Facility		$83.18	$83.18	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $34.67 / $60.26	Professional		$28.84	$34.67	$60.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $100.00	Facility		$21.88	$21.88	$100.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $89.13 / $120.23	Professional		$28.84	$89.13	$120.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $114.82 / $144.54	Facility		$104.71	$114.82	$144.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $67.61 / $67.61	Professional		$44.67	$67.61	$67.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Facility		$21.88	$21.88	$21.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $28.84 / $60.26	Professional		$26.92	$28.84	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $60.26 / $162.18	Professional		$14.13	$60.26	$162.18