Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $288.40 / $660.69	Facility		$83.18	$288.40	$660.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $36.31 / $117.49	Professional		$30.90	$36.31	$117.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $44.67 / $56.23	Professional		$25.12	$44.67	$56.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $38.90 / $549.54	Facility		$30.90	$38.90	$549.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $158.49	Professional		$38.90	$38.90	$158.49
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $151.36 / $218.78	Facility		$138.04	$151.36	$218.78
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $89.13 / $165.96	Professional		$63.10	$89.13	$165.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Facility		$30.90	$30.90	$30.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $35.48 / $43.65	Professional		$25.12	$35.48	$43.65
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $77.62 / $117.49	Professional		$21.38	$77.62	$117.49