Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.54 / $151.76 / $257.85	Facility		$32.54	$151.76	$257.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.67 / $73.67 / $141.40	Professional		$73.67	$73.67	$141.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.73 / $60.73 / $60.73	Facility		$60.73	$60.73	$60.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.14 / $25.19 / $31.49	Professional		$16.14	$25.19	$31.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $23.79 / $23.79 / $23.79	Facility		$23.79	$23.79	$23.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.99 / $21.99 / $87.96	Professional		$21.99	$21.99	$87.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.95 / $84.66 / $141.82	Facility		$76.95	$84.66	$141.82
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.79 / $49.48 / $49.48	Professional		$19.79	$49.48	$49.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.79 / $23.79 / $76.95	Facility		$23.79	$23.79	$76.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.99 / $28.42 / $31.76	Professional		$21.99	$28.42	$31.76
United Facility/Professional Professional Modifier Low / Median / High Price $13.82 / $43.98 / $66.34	Professional		$13.82	$43.98	$66.34