Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $138.04 / $338.84	Facility		$77.62	$138.04	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $16.98 / $60.26	Professional		$14.13	$16.98	$60.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $20.42 / $25.70	Professional		$13.18	$20.42	$25.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $18.20 / $104.71	Facility		$16.22	$18.20	$104.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $72.44	Professional		$18.20	$18.20	$72.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $69.18 / $117.49	Facility		$63.10	$69.18	$117.49
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $40.74 / $89.13	Professional		$33.11	$40.74	$89.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $16.22 / $16.22	Facility		$16.22	$16.22	$16.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $18.20 / $23.44	Professional		$13.18	$18.20	$23.44
United Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $36.31 / $54.95	Professional		$11.22	$36.31	$54.95