Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $69.18 / $69.18	Facility		$45.71	$69.18	$69.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $18.20 / $48.98	Professional		$10.96	$18.20	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $269.15	Professional		$42.66	$42.66	$269.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $69.18 / $70.79	Facility		$48.98	$69.18	$70.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $56.23 / $60.26	Professional		$46.77	$56.23	$60.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $72.44 / $131.83	Professional		$70.79	$72.44	$131.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $48.98 / $70.79	Facility		$27.54	$48.98	$70.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $29.51 / $269.15	Professional		$14.45	$29.51	$269.15
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $104.71 / $194.98	Professional		$34.67	$104.71	$194.98