Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $181.97 / $338.84	Facility		$38.90	$181.97	$338.84
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $524.81 / $524.81 / $891.25	Facility	50	$524.81	$524.81	$891.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $54.95 / $128.82	Professional		$33.11	$54.95	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $112.20 / $275.42	Professional		$69.18	$112.20	$275.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $83.18 / $323.59	Facility		$32.36	$83.18	$323.59
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $93.33 / $524.81 / $977.24	Facility	50	$93.33	$524.81	$977.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $138.04 / $295.12	Professional		$60.26	$138.04	$295.12
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $181.97 / $346.74	Professional		$104.71	$181.97	$346.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $77.62 / $194.98	Facility		$28.18	$77.62	$194.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $60.26 / $151.36	Professional		$37.15	$60.26	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $151.36 / $316.23	Professional		$58.88	$151.36	$316.23