Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.93 / $204.83 / $348.01	Facility		$43.93	$204.83	$348.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.43 / $99.43 / $190.84	Professional		$99.43	$99.43	$190.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.98 / $81.98 / $81.98	Facility		$81.98	$81.98	$81.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.78 / $34.28 / $42.85	Professional		$21.78	$34.28	$42.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.73 / $15.73 / $15.73	Facility		$15.73	$15.73	$15.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $29.68 / $29.68 / $118.72	Professional		$29.68	$29.68	$118.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $103.88 / $114.27 / $191.45	Facility		$103.88	$114.27	$191.45
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $66.78 / $66.78	Professional		$26.71	$66.78	$66.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.73 / $15.73 / $103.88	Facility		$15.73	$15.73	$103.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.68 / $29.68 / $42.88	Professional		$29.68	$29.68	$42.88
United Facility/Professional Professional Modifier Low / Median / High Price $18.66 / $59.36 / $89.55	Professional		$18.66	$59.36	$89.55