Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $267.56 / $444.49 / $755.20	Facility		$267.56	$444.49	$755.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.77 / $215.77 / $215.77	Professional		$215.77	$215.77	$215.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.95 / $177.95 / $177.95	Facility		$177.95	$177.95	$177.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.93 / $73.93 / $92.41	Professional		$73.93	$73.93	$92.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $33.49 / $48.95 / $77.29	Facility		$33.49	$48.95	$77.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $64.41 / $64.41 / $257.64	Professional		$64.41	$64.41	$257.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $238.32 / $238.32 / $257.64	Facility		$238.32	$238.32	$257.64
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.97 / $96.62 / $257.64	Professional		$57.97	$96.62	$257.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.49 / $49.60 / $125.60	Facility		$33.49	$49.60	$125.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.19 / $64.41 / $177.13	Professional		$61.19	$64.41	$177.13
United Facility/Professional Professional Modifier Low / Median / High Price $28.98 / $128.82 / $194.34	Professional		$28.98	$128.82	$194.34