Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.67 / $138.37 / $235.10	Facility		$29.67	$138.37	$235.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.42 / $26.38 / $67.17	Professional		$23.42	$26.38	$67.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.38 / $55.38 / $55.38	Facility		$55.38	$55.38	$55.38
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 $96.05 / $96.05 / $96.05	Facility		$96.05	$96.05	$96.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.05 / $20.05 / $64.56	Professional		$20.05	$20.05	$64.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $129.35 / $129.35 / $129.35	Facility		$129.35	$129.35	$129.35
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $45.11 / $45.11	Professional		$18.05	$45.11	$45.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $55.38 / $96.05 / $129.35	Facility		$55.38	$96.05	$129.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.70 / $20.05 / $31.52	Professional		$14.70	$20.05	$31.52
United Facility/Professional Professional Modifier Low / Median / High Price $28.02 / $60.50 / $60.50	Professional		$28.02	$60.50	$60.50