Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.23 / $160.66 / $244.72	Facility		$67.23	$160.66	$244.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.33 / $55.98 / $69.97	Professional		$15.33	$55.98	$69.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.16 / $46.16 / $46.16	Facility		$46.16	$46.16	$46.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.34 / $19.41 / $24.26	Professional		$12.34	$19.41	$24.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.16 / $15.16 / $15.16	Facility		$15.16	$15.16	$15.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.71 / $16.71 / $66.84	Professional		$16.71	$16.71	$66.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.49 / $64.33 / $107.79	Facility		$58.49	$64.33	$107.79
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.04 / $37.60 / $37.60	Professional		$15.04	$37.60	$37.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.16 / $15.16 / $58.49	Facility		$15.16	$15.16	$58.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.71 / $16.71 / $24.14	Professional		$16.71	$16.71	$24.14
United Facility/Professional Professional Modifier Low / Median / High Price $10.51 / $33.42 / $50.42	Professional		$10.51	$33.42	$50.42