Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $213.80 / $363.08	Facility		$43.65	$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 $81.28 / $81.28 / $81.28	Facility		$81.28	$81.28	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $34.67 / $42.66	Professional		$21.88	$34.67	$42.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $29.51	Facility		$15.85	$15.85	$29.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $117.49	Professional		$29.51	$29.51	$117.49
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $114.82 / $190.55	Facility		$104.71	$114.82	$190.55
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $66.07 / $66.07	Professional		$54.95	$66.07	$66.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $15.85	Facility		$15.85	$15.85	$15.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $29.51 / $38.02	Professional		$21.88	$29.51	$38.02
United Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $58.88 / $89.13	Professional		$18.62	$58.88	$89.13