Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.55 / $204.32 / $249.17	Facility		$92.55	$204.32	$249.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.90 / $16.36 / $71.19	Professional		$14.90	$16.36	$71.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.57 / $1.57 / $1.57	Facility		$1.57	$1.57	$1.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.26 / $15.06 / $52.73	Professional		$7.26	$15.06	$52.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.27 / $71.19 / $206.45	Facility		$15.27	$71.19	$206.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.95 / $18.95 / $27.08	Professional		$18.95	$18.95	$27.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.95 / $76.95 / $76.95	Professional		$76.95	$76.95	$76.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.57 / $71.19 / $101.80	Facility		$1.57	$71.19	$101.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.26 / $18.95 / $27.08	Professional		$7.26	$18.95	$27.08
United Facility/Professional Professional Modifier Low / Median / High Price $10.66 / $46.00 / $55.39	Professional		$10.66	$46.00	$55.39