Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.96 / $242.30 / $411.67	Facility		$51.96	$242.30	$411.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $117.62 / $134.61	Professional		$17.55	$117.62	$134.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.99 / $96.99 / $96.99	Facility		$96.99	$96.99	$96.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.34 / $40.47 / $50.59	Professional		$12.34	$40.47	$50.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.57 / $25.57 / $25.57	Facility		$25.57	$25.57	$25.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $35.11 / $35.11 / $140.44	Professional		$35.11	$35.11	$140.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.56 / $129.91 / $140.44	Facility		$91.56	$129.91	$140.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.60 / $52.67 / $140.44	Professional		$31.60	$52.67	$140.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.57 / $25.57 / $96.99	Facility		$25.57	$25.57	$96.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.73 / $35.11 / $96.55	Professional		$21.73	$35.11	$96.55
United Facility/Professional Professional Modifier Low / Median / High Price $8.34 / $70.22 / $105.93	Professional		$8.34	$70.22	$105.93