Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $67.61 / $398.11	Facility		$63.10	$67.61	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $21.88 / $93.33	Professional		$12.88	$21.88	$93.33
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $27.54 / $50.12 / $204.17	Professional	50	$27.54	$50.12	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $81.28 / $229.09	Facility		$17.38	$81.28	$229.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $51.29 / $107.15	Professional		$18.62	$51.29	$107.15
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $23.44 / $47.86 / $169.82	Professional	50	$23.44	$47.86	$169.82
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $64.57 / $85.11	Professional		$63.10	$64.57	$85.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $64.57 / $93.33	Facility		$17.38	$64.57	$93.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $39.81 / $60.26	Professional		$13.18	$39.81	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $31.62 / $47.86	Professional		$19.05	$31.62	$47.86