Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $154.88 / $281.84	Facility		$141.25	$154.88	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $21.88 / $75.86	Professional		$18.20	$21.88	$75.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Facility		$63.10	$63.10	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $26.30 / $33.11	Professional		$16.60	$26.30	$33.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $102.33	Facility		$20.89	$20.89	$102.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $91.20	Professional		$22.91	$22.91	$91.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $87.10 / $147.91	Facility		$79.43	$87.10	$147.91
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $51.29 / $112.20	Professional		$42.66	$51.29	$112.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Facility		$20.89	$20.89	$20.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $22.91 / $29.51	Professional		$16.60	$22.91	$29.51
United Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $45.71 / $69.18	Professional		$14.45	$45.71	$69.18