Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $91.20 / $154.88	Facility		$41.69	$91.20	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Professional		$41.69	$41.69	$41.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Facility		$117.49	$117.49	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $47.86 / $60.26	Professional		$23.44	$47.86	$60.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $190.55	Facility		$41.69	$41.69	$190.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $134.90 / $169.82	Professional		$41.69	$134.90	$169.82
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $154.88 / $169.82	Facility		$41.69	$154.88	$169.82
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $95.50 / $95.50	Professional		$63.10	$95.50	$95.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Facility		$41.69	$41.69	$41.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $39.81 / $41.69	Professional		$23.44	$39.81	$41.69
United Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $93.33 / $141.25	Professional		$19.05	$93.33	$141.25