Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $181.97 / $371.54	Facility		$72.44	$181.97	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $25.12 / $89.13	Professional		$19.50	$25.12	$89.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Facility		$74.13	$74.13	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $30.90 / $38.90	Professional		$13.18	$30.90	$38.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $120.23	Facility		$19.50	$19.50	$120.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $85.11 / $107.15	Professional		$25.12	$85.11	$107.15
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $97.72 / $114.82	Facility		$93.33	$97.72	$114.82
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $60.26 / $60.26	Professional		$36.31	$60.26	$60.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Facility		$19.50	$19.50	$19.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $23.99 / $26.92	Professional		$13.18	$23.99	$26.92
United Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $53.70 / $81.28	Professional		$11.22	$53.70	$81.28