Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $275.42 / $338.84	Facility		$67.61	$275.42	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $63.10 / $223.87	Professional		$53.70	$63.10	$223.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Facility		$186.21	$186.21	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $77.62 / $95.50	Professional		$48.98	$77.62	$95.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $67.61 / $309.03	Facility		$61.66	$67.61	$309.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $75.86 / $269.15	Professional		$67.61	$75.86	$269.15
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $257.04 / $436.52	Facility		$234.42	$257.04	$436.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $151.36 / $151.36	Professional		$125.89	$151.36	$151.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Facility		$61.66	$61.66	$61.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $67.61 / $87.10	Professional		$48.98	$67.61	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $134.90 / $204.17	Professional		$42.66	$134.90	$204.17