Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $173.78 / $331.13	Facility		$54.95	$173.78	$331.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $42.66 / $50.12	Professional		$32.36	$42.66	$50.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Facility		$467.74	$467.74	$467.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $70.79 / $173.78	Facility		$50.12	$70.79	$173.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $43.65 / $50.12	Professional		$38.02	$43.65	$50.12
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $128.82 / $173.78	Professional		$125.89	$128.82	$173.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $70.79 / $467.74	Facility		$50.12	$70.79	$467.74
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $107.15 / $162.18	Professional		$66.07	$107.15	$162.18