Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.25 / $201.65 / $342.62	Facility		$43.25	$201.65	$342.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.25 / $43.25 / $97.89	Professional		$24.25	$43.25	$97.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.70 / $80.70 / $80.70	Facility		$80.70	$80.70	$80.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.25 / $15.25 / $35.06	Professional		$15.25	$15.25	$35.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $139.97 / $139.97 / $139.97	Facility		$139.97	$139.97	$139.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $29.22 / $94.09	Professional		$26.30	$29.22	$94.09
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.27 / $112.50 / $133.94	Facility		$102.27	$112.50	$133.94
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $65.75 / $65.75	Professional		$26.30	$65.75	$65.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $80.70 / $112.50 / $139.97	Facility		$80.70	$112.50	$139.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.25 / $35.06 / $80.36	Professional		$15.25	$35.06	$80.36
United Facility/Professional Professional Modifier Low / Median / High Price $29.22 / $58.44 / $88.16	Professional		$29.22	$58.44	$88.16