Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.89 / $521.72 / $886.41	Facility		$111.89	$521.72	$886.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.89 / $253.26 / $253.26	Professional		$111.89	$253.26	$253.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.85 / $208.85 / $208.85	Facility		$208.85	$208.85	$208.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.25 / $87.14 / $108.93	Professional		$15.25	$87.14	$108.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $55.06 / $55.06 / $55.06	Facility		$55.06	$55.06	$55.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $75.59 / $75.59 / $243.43	Professional		$75.59	$75.59	$243.43
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $119.84 / $279.72 / $302.39	Facility		$119.84	$279.72	$302.39
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.26 / $113.40 / $302.39	Professional		$45.26	$113.40	$302.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $55.06 / $55.06 / $141.87	Facility		$55.06	$55.06	$141.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.43 / $75.59 / $207.90	Professional		$28.43	$75.59	$207.90
United Facility/Professional Professional Modifier Low / Median / High Price $13.47 / $151.19 / $228.10	Professional		$13.47	$151.19	$228.10