Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.31 / $173.97 / $295.58	Facility		$37.31	$173.97	$295.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.45 / $84.45 / $162.10	Professional		$84.45	$84.45	$162.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.66 / $69.66 / $69.66	Facility		$69.66	$69.66	$69.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.23 / $28.91 / $36.14	Professional		$17.23	$28.91	$36.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.35 / $21.35 / $21.35	Facility		$21.35	$21.35	$21.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.21 / $25.21 / $100.84	Professional		$25.21	$25.21	$100.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $88.24 / $97.06 / $151.87	Facility		$88.24	$97.06	$151.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.69 / $56.72 / $56.72	Professional		$22.69	$56.72	$56.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.35 / $21.35 / $88.24	Facility		$21.35	$21.35	$88.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.54 / $25.21 / $34.02	Professional		$23.54	$25.21	$34.02
United Facility/Professional Professional Modifier Low / Median / High Price $14.81 / $50.42 / $76.06	Professional		$14.81	$50.42	$76.06