Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.63 / $140.66 / $378.74	Facility		$68.63	$140.66	$378.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.21 / $108.21 / $207.69	Professional		$108.21	$108.21	$207.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.25 / $89.25 / $89.25	Facility		$89.25	$89.25	$89.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.60 / $37.17 / $46.46	Professional		$23.60	$37.17	$46.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.16 / $28.16 / $28.16	Facility		$28.16	$28.16	$28.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $32.29 / $32.29 / $129.19	Professional		$32.29	$32.29	$129.19
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $113.05 / $124.35 / $208.37	Facility		$113.05	$124.35	$208.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.07 / $72.68 / $393.50	Professional		$29.07	$72.68	$393.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.16 / $28.16 / $113.05	Facility		$28.16	$28.16	$113.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.29 / $32.29 / $46.67	Professional		$32.29	$32.29	$46.67
United Facility/Professional Professional Modifier Low / Median / High Price $20.30 / $64.59 / $97.46	Professional		$20.30	$64.59	$97.46