Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $213.80 / $371.54	Facility		$44.67	$213.80	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $28.84 / $100.00	Professional		$23.99	$28.84	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Facility		$83.18	$83.18	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $31.62	Professional		$14.79	$14.79	$31.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $134.90	Facility		$30.20	$30.20	$134.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $30.20 / $97.72	Professional		$28.84	$30.20	$97.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $112.20 / $128.82	Facility		$104.71	$112.20	$128.82
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Professional		$67.61	$67.61	$67.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $48.98 / $144.54	Facility		$23.99	$48.98	$144.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $26.92 / $31.62	Professional		$14.79	$26.92	$31.62
United Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $60.26 / $91.20	Professional		$18.20	$60.26	$91.20