Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.17 / $154.63 / $262.75	Facility		$33.17	$154.63	$262.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.80 / $75.06 / $85.92	Professional		$17.80	$75.06	$85.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.92 / $61.92 / $61.92	Facility		$61.92	$61.92	$61.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.16 / $25.61 / $32.01	Professional		$14.16	$25.61	$32.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.54 / $17.54 / $17.54	Facility		$17.54	$17.54	$17.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.41 / $22.41 / $89.64	Professional		$22.41	$22.41	$89.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.44 / $86.28 / $124.80	Facility		$78.44	$86.28	$124.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.17 / $50.42 / $50.42	Professional		$20.17	$50.42	$50.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.54 / $17.54 / $78.44	Facility		$17.54	$17.54	$78.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.17 / $22.41 / $27.95	Professional		$20.17	$22.41	$27.95
United Facility/Professional Professional Modifier Low / Median / High Price $12.17 / $44.82 / $47.78	Professional		$12.17	$44.82	$47.78