Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $457.09 / $758.58	Facility		$275.42	$457.09	$758.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $61.66 / $213.80	Professional		$52.48	$61.66	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $74.13 / $93.33	Professional		$46.77	$74.13	$93.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $64.57	Facility		$53.70	$53.70	$64.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $257.04	Professional		$64.57	$64.57	$257.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $245.47 / $416.87	Facility		$223.87	$245.47	$416.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $144.54 / $144.54	Professional		$120.23	$144.54	$144.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Facility		$53.70	$53.70	$53.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $64.57 / $83.18	Professional		$46.77	$64.57	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $128.82 / $194.98	Professional		$40.74	$128.82	$194.98