Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.01 / $152.66 / $220.12	Facility		$24.01	$152.66	$220.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.50 / $29.39 / $74.84	Professional		$24.50	$29.39	$74.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.71 / $61.71 / $61.71	Facility		$61.71	$61.71	$61.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.61 / $29.38 / $54.00	Professional		$25.61	$29.38	$54.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.41 / $21.41 / $21.41	Facility		$21.41	$21.41	$21.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.34 / $22.34 / $89.36	Professional		$22.34	$22.34	$89.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.19 / $86.01 / $144.13	Facility		$78.19	$86.01	$144.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.11 / $50.27 / $50.27	Professional		$20.11	$50.27	$50.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.41 / $21.41 / $78.19	Facility		$21.41	$21.41	$78.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.34 / $28.89 / $32.27	Professional		$22.34	$28.89	$32.27
United Facility/Professional Professional Modifier Low / Median / High Price $14.04 / $44.68 / $55.18	Professional		$14.04	$44.68	$55.18