Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Facility		$102.33	$102.33	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $69.18 / $100.00	Professional		$63.10	$69.18	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Facility		$66.07	$66.07	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $70.79	Professional		$47.86	$47.86	$70.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $97.72 / $112.20	Facility		$33.88	$97.72	$112.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $117.49 / $380.19	Professional		$69.18	$117.49	$380.19
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $112.20 / $117.49	Facility		$100.00	$112.20	$117.49
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $112.20 / $114.82	Professional		$91.20	$112.20	$114.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $117.49	Facility		$33.88	$33.88	$117.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $66.07 / $109.65	Professional		$47.86	$66.07	$109.65
United Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $56.23	Facility		$52.48	$52.48	$56.23
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $87.10 / $288.40	Professional		$56.23	$87.10	$288.40