Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $263.03 / $851.14	Facility		$147.91	$263.03	$851.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $28.84 / $112.20	Professional		$25.70	$28.84	$112.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.51 / $2.51 / $2.51	Facility		$2.51	$2.51	$2.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $26.92 / $33.88	Professional		$11.75	$26.92	$33.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Facility		$15.14	$15.14	$15.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $33.11 / $245.47	Professional		$16.98	$33.11	$245.47
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $123.03 / $123.03	Professional		$85.11	$123.03	$123.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Facility		$15.14	$15.14	$15.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $30.20 / $43.65	Professional		$11.75	$30.20	$43.65
United Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $74.13 / $109.65	Professional		$7.94	$74.13	$109.65