Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.73 / $187.38 / $292.77	Facility		$103.73	$187.38	$292.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.47 / $19.23 / $83.65	Professional		$17.47	$19.23	$83.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.87 / $1.87 / $1.87	Facility		$1.87	$1.87	$1.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $17.76 / $61.83	Professional		$8.71	$17.76	$61.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.89 / $83.65 / $242.59	Facility		$17.89	$83.65	$242.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.61 / $22.61 / $32.29	Professional		$22.61	$22.61	$32.29
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.45 / $90.45 / $90.45	Professional		$90.45	$90.45	$90.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.87 / $83.65 / $119.62	Facility		$1.87	$83.65	$119.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $22.61 / $32.29	Professional		$8.71	$22.61	$32.29
United Facility/Professional Professional Modifier Low / Median / High Price $16.38 / $54.06 / $65.11	Professional		$16.38	$54.06	$65.11