Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.45 / $213.63 / $325.54	Facility		$110.45	$213.63	$325.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.17 / $113.43 / $141.78	Professional		$31.17	$113.43	$141.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.54 / $93.54 / $93.54	Facility		$93.54	$93.54	$93.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.87 / $39.24 / $49.04	Professional		$24.87	$39.24	$49.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.70 / $30.70 / $30.70	Facility		$30.70	$30.70	$30.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.86 / $33.86 / $135.44	Professional		$33.86	$33.86	$135.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $118.51 / $130.36 / $218.42	Facility		$118.51	$130.36	$218.42
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.47 / $76.19 / $210.88	Professional		$30.47	$76.19	$210.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.70 / $30.70 / $118.51	Facility		$30.70	$30.70	$118.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.86 / $43.78 / $48.93	Professional		$33.86	$43.78	$48.93
United Facility/Professional Professional Modifier Low / Median / High Price $21.29 / $67.72 / $102.16	Professional		$21.29	$67.72	$102.16