Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.96 / $237.60 / $403.69	Facility		$50.96	$237.60	$403.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.34 / $115.34 / $221.39	Professional		$115.34	$115.34	$221.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.12 / $95.12 / $95.12	Facility		$95.12	$95.12	$95.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.23 / $25.23 / $54.45	Professional		$25.23	$25.23	$54.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $164.94 / $164.94 / $164.94	Facility		$164.94	$164.94	$164.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $34.43 / $34.43 / $110.86	Professional		$34.43	$34.43	$110.86
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.28 / $127.39 / $142.38	Facility		$120.28	$127.39	$142.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.99 / $77.47 / $77.47	Professional		$30.99	$77.47	$77.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $95.12 / $127.39 / $164.94	Facility		$95.12	$127.39	$164.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.23 / $34.43 / $54.45	Professional		$25.23	$34.43	$54.45
United Facility/Professional Professional Modifier Low / Median / High Price $67.02 / $85.02 / $103.29	Professional		$67.02	$85.02	$103.29