Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.26 / $146.79 / $438.27	Facility		$81.26	$146.79	$438.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $65.53 / $81.91	Professional		$18.01	$65.53	$81.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.02 / $54.02 / $54.02	Facility		$54.02	$54.02	$54.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.34 / $22.30 / $27.88	Professional		$14.34	$22.30	$27.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.73 / $17.73 / $17.73	Facility		$17.73	$17.73	$17.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.55 / $19.55 / $78.23	Professional		$19.55	$19.55	$78.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.45 / $75.31 / $126.18	Facility		$68.45	$75.31	$126.18
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.60 / $44.01 / $361.25	Professional		$17.60	$44.01	$361.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.73 / $17.73 / $68.45	Facility		$17.73	$17.73	$68.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.55 / $19.55 / $25.29	Professional		$19.55	$19.55	$25.29
United Facility/Professional Professional Modifier Low / Median / High Price $12.29 / $39.11 / $59.02	Professional		$12.29	$39.11	$59.02