Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.56 / $206.95 / $323.37	Facility		$114.56	$206.95	$323.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.27 / $21.24 / $92.39	Professional		$19.27	$21.24	$92.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $2.04 / $2.04	Facility		$2.04	$2.04	$2.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $19.69 / $68.19	Professional		$9.44	$19.69	$68.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.73 / $92.39 / $267.93	Facility		$19.73	$92.39	$267.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $24.61 / $24.61 / $35.15	Professional		$24.61	$24.61	$35.15
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.90 / $99.90 / $99.90	Professional		$99.90	$99.90	$99.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $92.39 / $132.12	Facility		$2.04	$92.39	$132.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $24.61 / $35.15	Professional		$9.44	$24.61	$35.15
United Facility/Professional Professional Modifier Low / Median / High Price $16.38 / $59.72 / $71.92	Professional		$16.38	$59.72	$71.92