Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.11 / $252.31 / $428.68	Facility		$54.11	$252.31	$428.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.48 / $122.48 / $235.08	Professional		$122.48	$122.48	$235.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.98 / $100.98 / $100.98	Facility		$100.98	$100.98	$100.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.38 / $42.13 / $52.66	Professional		$41.38	$42.13	$52.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $38.04 / $38.04 / $38.04	Facility		$38.04	$38.04	$38.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $36.56 / $36.56 / $146.24	Professional		$36.56	$36.56	$146.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $127.96 / $140.76 / $364.17	Facility		$127.96	$140.76	$364.17
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.90 / $82.26 / $82.26	Professional		$32.90	$82.26	$82.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.04 / $38.04 / $127.96	Facility		$38.04	$38.04	$127.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.56 / $72.98 / $81.56	Professional		$36.56	$72.98	$81.56
United Facility/Professional Professional Modifier Low / Median / High Price $35.50 / $73.12 / $110.31	Professional		$35.50	$73.12	$110.31