Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $89.13 / $186.21	Facility		$66.07	$89.13	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $21.88 / $67.61	Professional		$15.85	$21.88	$67.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $25.70 / $46.77	Professional		$20.42	$25.70	$46.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $30.20 / $63.10	Facility		$17.78	$30.20	$63.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $64.57 / $104.71	Professional		$34.67	$64.57	$104.71
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $39.81 / $3,467.37	Facility		$30.20	$39.81	$3,467.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $45.71 / $100.00	Professional		$36.31	$45.71	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $30.20 / $72.44	Facility		$17.78	$30.20	$72.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $38.02 / $79.43	Professional		$25.70	$38.02	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $63.10 / $112.20	Professional		$21.38	$63.10	$112.20