Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.84 / $498.19 / $834.35	Facility		$106.84	$498.19	$834.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.61 / $241.84 / $276.77	Professional		$53.61	$241.84	$276.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.41 / $199.41 / $199.41	Facility		$199.41	$199.41	$199.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.29 / $83.01 / $103.77	Professional		$36.29	$83.01	$103.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $52.57 / $52.57 / $52.57	Facility		$52.57	$52.57	$52.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $72.19 / $72.19 / $288.76	Professional		$72.19	$72.19	$288.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $252.67 / $267.10 / $288.76	Facility		$252.67	$267.10	$288.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.97 / $108.29 / $288.76	Professional		$64.97	$108.29	$288.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.57 / $52.57 / $52.57	Facility		$52.57	$52.57	$52.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.97 / $72.19 / $198.52	Professional		$64.97	$72.19	$198.52
United Facility/Professional Professional Modifier Low / Median / High Price $32.49 / $144.38 / $217.81	Professional		$32.49	$144.38	$217.81