Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.95 / $320.93 / $921.07	Facility		$90.95	$320.93	$921.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.39 / $111.96 / $320.93	Professional		$99.39	$111.96	$320.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $264.64 / $264.64 / $264.64	Facility		$264.64	$264.64	$264.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.44 / $62.44 / $143.50	Professional		$62.44	$62.44	$143.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $458.93 / $458.93 / $458.93	Facility		$458.93	$458.93	$458.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $95.80 / $95.80 / $308.48	Professional		$95.80	$95.80	$308.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $548.89 / $548.89 / $548.89	Facility		$548.89	$548.89	$548.89
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.22 / $215.55 / $215.55	Professional		$86.22	$215.55	$215.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $264.64 / $458.93 / $548.89	Facility		$264.64	$458.93	$548.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $62.44 / $143.50 / $263.45	Professional		$62.44	$143.50	$263.45
United Facility/Professional Professional Modifier Low / Median / High Price $119.75 / $210.12 / $289.05	Professional		$119.75	$210.12	$289.05