Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.86 / $92.86 / $216.00	Facility		$92.86	$92.86	$216.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.91 / $74.29 / $74.29	Professional		$69.91	$74.29	$74.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.02 / $56.02 / $56.02	Facility		$56.02	$56.02	$56.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.89 / $40.89 / $40.89	Professional		$40.89	$40.89	$40.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.57 / $25.57 / $25.57	Facility		$25.57	$25.57	$25.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $82.38 / $82.38 / $130.08	Professional		$82.38	$82.38	$130.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.69 / $84.69 / $84.69	Professional		$84.69	$84.69	$84.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.57 / $25.57 / $56.02	Facility		$25.57	$25.57	$56.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.89 / $64.31 / $101.63	Professional		$40.89	$64.31	$101.63
United Facility/Professional Professional Modifier Low / Median / High Price $41.92 / $56.82 / $108.17	Professional		$41.92	$56.82	$108.17