Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.06 / $186.80 / $317.38	Facility		$40.06	$186.80	$317.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.33 / $90.68 / $90.68	Professional		$11.33	$90.68	$90.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.80 / $74.80 / $74.80	Facility		$74.80	$74.80	$74.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.35 / $31.39 / $39.24	Professional		$6.35	$31.39	$39.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.72 / $19.72 / $19.72	Facility		$19.72	$19.72	$19.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $27.07 / $27.07 / $108.28	Professional		$27.07	$27.07	$108.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.96 / $100.16 / $108.28	Facility		$46.96	$100.16	$108.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.36 / $60.91 / $60.91	Professional		$24.36	$60.91	$60.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.72 / $19.72 / $55.55	Facility		$19.72	$19.72	$55.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.13 / $12.44 / $27.07	Professional		$11.13	$12.44	$27.07
United Facility/Professional Professional Modifier Low / Median / High Price $5.41 / $54.14 / $81.68	Professional		$5.41	$54.14	$81.68