Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.56 / $112.40 / $353.78	Facility		$43.56	$112.40	$353.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.14 / $58.24 / $90.78	Professional		$30.14	$58.24	$90.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.31 / $71.31 / $71.31	Facility		$71.31	$71.31	$71.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.88 / $29.74 / $37.17	Professional		$18.88	$29.74	$37.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.51 / $22.51 / $22.51	Facility		$22.51	$22.51	$22.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.81 / $25.81 / $103.24	Professional		$25.81	$25.81	$103.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.34 / $99.37 / $166.52	Facility		$90.34	$99.37	$166.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.23 / $58.07 / $192.50	Professional		$23.23	$58.07	$192.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.51 / $22.51 / $90.34	Facility		$22.51	$22.51	$90.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.81 / $25.81 / $33.36	Professional		$25.81	$25.81	$33.36
United Facility/Professional Professional Modifier Low / Median / High Price $16.23 / $51.62 / $77.87	Professional		$16.23	$51.62	$77.87