Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.38 / $261.95 / $461.58	Facility		$97.38	$261.95	$461.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.99 / $40.99 / $239.65	Professional		$40.99	$40.99	$239.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.98 / $102.98 / $102.98	Facility		$102.98	$102.98	$102.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $25.77 / $60.29	Professional		$25.77	$25.77	$60.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $178.54 / $178.54 / $310.00	Facility		$178.54	$178.54	$310.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $37.27 / $37.27 / $120.01	Professional		$37.27	$37.27	$120.01
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $130.44 / $143.49 / $226.38	Facility		$130.44	$143.49	$226.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.54 / $83.86 / $83.86	Professional		$33.54	$83.86	$83.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $102.98 / $143.49 / $226.38	Facility		$102.98	$143.49	$226.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $60.29 / $102.49	Professional		$25.77	$60.29	$102.49
United Facility/Professional Professional Modifier Low / Median / High Price $50.27 / $86.66 / $112.45	Professional		$50.27	$86.66	$112.45