Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.18 / $317.92 / $540.16	Facility		$68.18	$317.92	$540.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.33 / $154.33 / $296.23	Professional		$154.33	$154.33	$296.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.29 / $127.29 / $127.29	Facility		$127.29	$127.29	$127.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.76 / $52.86 / $66.08	Professional		$33.76	$52.86	$66.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $33.54 / $33.54 / $33.54	Facility		$33.54	$33.54	$33.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $46.07 / $46.07 / $184.28	Professional		$46.07	$46.07	$184.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $161.25 / $177.37 / $297.20	Facility		$161.25	$177.37	$297.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.46 / $103.66 / $103.66	Professional		$41.46	$103.66	$103.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.54 / $33.54 / $161.25	Facility		$33.54	$33.54	$161.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $46.07 / $59.57 / $66.56	Professional		$46.07	$59.57	$66.56
United Facility/Professional Professional Modifier Low / Median / High Price $28.97 / $92.14 / $139.00	Professional		$28.97	$92.14	$139.00