Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.53 / $204.59 / $451.68	Facility		$69.53	$204.59	$451.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.24 / $157.38 / $180.12	Professional		$43.24	$157.38	$180.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.80 / $129.80 / $129.80	Facility		$129.80	$129.80	$129.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.49 / $54.10 / $67.63	Professional		$34.49	$54.10	$67.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $42.61 / $42.61 / $42.61	Facility		$42.61	$42.61	$42.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $46.98 / $46.98 / $187.92	Professional		$46.98	$46.98	$187.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $164.43 / $180.87 / $303.08	Facility		$164.43	$180.87	$303.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.28 / $105.71 / $272.50	Professional		$42.28	$105.71	$272.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.61 / $42.61 / $164.43	Facility		$42.61	$42.61	$164.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $46.98 / $60.74 / $67.88	Professional		$46.98	$60.74	$67.88
United Facility/Professional Professional Modifier Low / Median / High Price $29.54 / $93.96 / $141.75	Professional		$29.54	$93.96	$141.75