Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.67 / $157.60 / $294.14	Facility		$37.67	$157.60	$294.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.42 / $85.26 / $85.26	Professional		$23.42	$85.26	$85.26
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 $29.32 / $29.32 / $36.65	Professional		$29.32	$29.32	$36.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.50 / $10.50 / $10.50	Facility		$10.50	$10.50	$10.50
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 $94.17 / $97.98 / $101.80	Facility		$94.17	$97.98	$101.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $38.18 / $101.80	Professional		$22.91	$38.18	$101.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.50 / $10.50 / $49.63	Facility		$10.50	$10.50	$49.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.18 / $25.45 / $69.98	Professional		$24.18	$25.45	$69.98
United Facility/Professional Professional Modifier Low / Median / High Price $11.45 / $50.90 / $76.79	Professional		$11.45	$50.90	$76.79