Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.90 / $46.70 / $251.34	Facility		$35.90	$46.70	$251.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.92 / $35.92 / $39.51	Professional		$35.92	$35.92	$39.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.24 / $99.24 / $99.24	Facility		$99.24	$99.24	$99.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $51.37 / $51.37 / $51.37	Facility		$51.37	$51.37	$51.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $35.92 / $107.76 / $115.66	Professional		$35.92	$107.76	$115.66
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.68 / $132.90 / $143.68	Facility		$125.68	$132.90	$143.68
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.33 / $80.81 / $80.81	Professional		$32.33	$80.81	$80.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.37 / $125.68 / $143.68	Facility		$51.37	$125.68	$143.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $98.75 / $98.75 / $98.75	Professional		$98.75	$98.75	$98.75
United Facility/Professional Professional Modifier Low / Median / High Price $35.90 / $71.81 / $108.35	Professional		$35.90	$71.81	$108.35