Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.22 / $158.05 / $802.80	Facility		$86.22	$158.05	$802.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.21 / $78.95 / $90.37	Professional		$18.21	$78.95	$90.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.11 / $65.11 / $65.11	Facility		$65.11	$65.11	$65.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.52 / $27.26 / $34.07	Professional		$14.52	$27.26	$34.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.94 / $17.94 / $17.94	Facility		$17.94	$17.94	$17.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.57 / $23.57 / $94.28	Professional		$23.57	$23.57	$94.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $82.50 / $90.74 / $127.60	Facility		$82.50	$90.74	$127.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.21 / $53.03 / $270.00	Professional		$21.21	$53.03	$270.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.94 / $17.94 / $82.50	Facility		$17.94	$17.94	$82.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.21 / $23.57 / $25.57	Professional		$21.21	$23.57	$25.57
United Facility/Professional Professional Modifier Low / Median / High Price $12.44 / $47.14 / $71.12	Professional		$12.44	$47.14	$71.12