Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.63 / $203.89 / $361.80	Facility		$81.63	$203.89	$361.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.73 / $35.75 / $91.02	Professional		$31.73	$35.75	$91.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.06 / $75.06 / $75.06	Facility		$75.06	$75.06	$75.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $31.39 / $39.24	Professional		$19.97	$31.39	$39.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $24.64 / $24.64 / $24.64	Facility		$24.64	$24.64	$24.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $27.17 / $27.17 / $108.68	Professional		$27.17	$27.17	$108.68
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.10 / $104.60 / $175.24	Facility		$95.10	$104.60	$175.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.45 / $61.13 / $315.00	Professional		$24.45	$61.13	$315.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.64 / $24.64 / $95.10	Facility		$24.64	$24.64	$95.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.17 / $35.11 / $39.25	Professional		$27.17	$35.11	$39.25
United Facility/Professional Professional Modifier Low / Median / High Price $17.07 / $54.34 / $81.98	Professional		$17.07	$54.34	$81.98