Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $416.87 / $724.44	Facility		$87.10	$416.87	$724.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $56.23 / $194.98	Professional		$46.77	$56.23	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $67.61	Professional		$31.62	$31.62	$67.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $263.03	Facility		$58.88	$58.88	$263.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $58.88 / $190.55	Professional		$56.23	$58.88	$190.55
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $223.87 / $275.42	Facility		$204.17	$223.87	$275.42
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $87.10 / $281.84	Facility		$46.77	$87.10	$281.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $52.48 / $67.61	Professional		$31.62	$52.48	$67.61
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $117.49 / $177.83	Professional		$35.48	$117.49	$177.83