Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.11 / $147.00 / $257.47	Facility		$90.11	$147.00	$257.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.64 / $89.71 / $102.68	Professional		$24.64	$89.71	$102.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.98 / $73.98 / $73.98	Facility		$73.98	$73.98	$73.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.60 / $30.98 / $38.72	Professional		$19.60	$30.98	$38.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $24.28 / $24.28 / $24.28	Facility		$24.28	$24.28	$24.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.78 / $26.78 / $107.12	Professional		$26.78	$26.78	$107.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.73 / $99.09 / $116.75	Facility		$93.73	$99.09	$116.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.10 / $60.26 / $174.75	Professional		$24.10	$60.26	$174.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.28 / $24.28 / $93.73	Facility		$24.28	$24.28	$93.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.40 / $23.40 / $26.78	Professional		$23.40	$23.40	$26.78
United Facility/Professional Professional Modifier Low / Median / High Price $16.82 / $53.56 / $80.80	Professional		$16.82	$53.56	$80.80