Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.49 / $122.89 / $363.97	Facility		$54.49	$122.89	$363.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.28 / $38.61 / $98.32	Professional		$34.28	$38.61	$98.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.09 / $81.09 / $81.09	Facility		$81.09	$81.09	$81.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.86 / $34.83 / $62.47	Professional		$33.86	$34.83	$62.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.20 / $28.20 / $28.20	Facility		$28.20	$28.20	$28.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $29.35 / $29.35 / $117.40	Professional		$29.35	$29.35	$117.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.73 / $113.00 / $189.32	Facility		$102.73	$113.00	$189.32
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.42 / $66.04 / $66.04	Professional		$26.42	$66.04	$66.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.20 / $28.20 / $102.73	Facility		$28.20	$28.20	$102.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.35 / $29.35 / $42.40	Professional		$29.35	$29.35	$42.40
United Facility/Professional Professional Modifier Low / Median / High Price $18.45 / $58.70 / $88.56	Professional		$18.45	$58.70	$88.56