Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.40 / $206.30 / $441.65	Facility		$76.40	$206.30	$441.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.89 / $76.95 / $76.95	Professional		$17.89	$76.95	$76.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.45 / $63.45 / $63.45	Facility		$63.45	$63.45	$63.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.43 / $26.43 / $33.04	Professional		$26.43	$26.43	$33.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.58 / $12.58 / $12.58	Facility		$12.58	$12.58	$12.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.97 / $22.97 / $91.88	Professional		$22.97	$22.97	$91.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $84.99 / $88.43 / $91.88	Facility		$84.99	$88.43	$91.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.67 / $34.46 / $91.88	Professional		$20.67	$34.46	$91.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.58 / $12.58 / $44.79	Facility		$12.58	$12.58	$44.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.82 / $22.97 / $63.17	Professional		$21.82	$22.97	$63.17
United Facility/Professional Professional Modifier Low / Median / High Price $10.34 / $45.94 / $69.31	Professional		$10.34	$45.94	$69.31