Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $323.59 / $549.54	Facility		$66.07	$323.59	$549.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $42.66 / $151.36	Professional		$36.31	$42.66	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Facility		$123.03	$123.03	$123.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $204.17	Facility		$44.67	$44.67	$204.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $44.67 / $144.54	Professional		$42.66	$44.67	$144.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $165.96 / $177.83	Facility		$44.67	$165.96	$177.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $123.03 / $213.80	Facility		$36.31	$123.03	$213.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Professional		$40.74	$40.74	$40.74
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $89.13 / $134.90	Professional		$26.92	$89.13	$134.90