Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.43 / $212.13 / $331.45	Facility		$117.43	$212.13	$331.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.98 / $32.63 / $32.63	Professional		$14.98	$32.63	$32.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.12 / $78.12 / $78.12	Facility		$78.12	$78.12	$78.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.86 / $29.25 / $36.56	Professional		$14.86	$29.25	$36.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.98 / $22.90 / $43.97	Facility		$14.98	$22.90	$43.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.27 / $28.27 / $113.08	Professional		$28.27	$28.27	$113.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $98.95 / $104.60 / $113.08	Facility		$98.95	$104.60	$113.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.44 / $52.35 / $139.60	Professional		$25.44	$52.35	$139.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.98 / $22.90 / $55.13	Facility		$14.98	$22.90	$55.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.27 / $33.15 / $77.73	Professional		$28.27	$33.15	$77.73
United Facility/Professional Professional Modifier Low / Median / High Price $15.71 / $56.54 / $85.30	Professional		$15.71	$56.54	$85.30