Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.10 / $205.65 / $349.41	Facility		$44.10	$205.65	$349.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.83 / $99.83 / $191.61	Professional		$99.83	$99.83	$191.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.32 / $82.32 / $82.32	Facility		$82.32	$82.32	$82.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.70 / $14.70 / $31.52	Professional		$14.70	$14.70	$31.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $142.76 / $142.76 / $142.76	Facility		$142.76	$142.76	$142.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $29.80 / $29.80 / $95.96	Professional		$29.80	$29.80	$95.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.30 / $110.26 / $129.35	Facility		$104.30	$110.26	$129.35
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.82 / $67.05 / $67.05	Professional		$26.82	$67.05	$67.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $82.32 / $110.26 / $142.76	Facility		$82.32	$110.26	$142.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.70 / $26.82 / $31.52	Professional		$14.70	$26.82	$31.52
United Facility/Professional Professional Modifier Low / Median / High Price $28.02 / $59.60 / $89.91	Professional		$28.02	$59.60	$89.91