Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.23 / $243.53 / $413.77	Facility		$52.23	$243.53	$413.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.22 / $118.22 / $135.30	Professional		$12.22	$118.22	$135.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.50 / $97.50 / $97.50	Facility		$97.50	$97.50	$97.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $40.47 / $50.59	Professional		$8.71	$40.47	$50.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Facility		$25.70	$25.70	$25.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $35.29 / $35.29 / $141.16	Professional		$35.29	$35.29	$141.16
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.31 / $130.57 / $141.16	Facility		$65.31	$130.57	$141.16
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.76 / $79.40 / $79.40	Professional		$31.76	$79.40	$79.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $77.36	Facility		$25.70	$25.70	$77.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.50 / $15.50 / $35.29	Professional		$15.50	$15.50	$35.29
United Facility/Professional Professional Modifier Low / Median / High Price $7.54 / $70.58 / $70.58	Professional		$7.54	$70.58	$70.58