Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.28 / $39.28 / $39.28	Facility		$39.28	$39.28	$39.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.60 / $73.40 / $108.64	Professional		$57.60	$73.40	$108.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.92 / $59.92 / $59.92	Facility		$59.92	$59.92	$59.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.16 / $69.09 / $73.63	Professional		$58.16	$69.09	$73.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.89 / $30.89 / $30.89	Facility		$30.89	$30.89	$30.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $81.41 / $100.13 / $128.54	Professional		$81.41	$100.13	$128.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.68 / $83.68 / $83.68	Professional		$83.68	$83.68	$83.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.89 / $30.89 / $59.92	Facility		$30.89	$30.89	$59.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.16 / $69.27 / $79.80	Professional		$58.16	$69.27	$79.80
United Facility/Professional Professional Modifier Low / Median / High Price $41.41 / $81.94 / $106.88	Professional		$41.41	$81.94	$106.88