Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.18 / $145.40 / $247.03	Facility		$31.18	$145.40	$247.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.58 / $70.58 / $135.47	Professional		$70.58	$70.58	$135.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.23 / $58.23 / $58.23	Facility		$58.23	$58.23	$58.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.43 / $24.37 / $30.46	Professional		$15.43	$24.37	$30.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.10 / $19.10 / $19.10	Facility		$19.10	$19.10	$19.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.07 / $21.07 / $84.28	Professional		$21.07	$21.07	$84.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.75 / $81.12 / $135.90	Facility		$73.75	$81.12	$135.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.96 / $47.41 / $47.41	Professional		$18.96	$47.41	$47.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.10 / $19.10 / $73.75	Facility		$19.10	$19.10	$73.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.07 / $21.07 / $30.44	Professional		$21.07	$21.07	$30.44
United Facility/Professional Professional Modifier Low / Median / High Price $13.24 / $42.14 / $63.57	Professional		$13.24	$42.14	$63.57