Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.90 / $62.90 / $185.07	Facility		$62.90	$62.90	$185.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.36 / $142.36 / $231.22	Professional		$142.36	$142.36	$231.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.16 / $91.16 / $91.16	Facility		$91.16	$91.16	$91.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.96 / $33.01 / $45.41	Professional		$19.96	$33.01	$45.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $203.57 / $203.57 / $203.57	Facility		$203.57	$203.57	$203.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $44.65 / $98.97 / $178.50	Professional		$44.65	$98.97	$178.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.50 / $135.00 / $186.66	Professional		$117.50	$135.00	$186.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $91.16 / $91.16 / $203.57	Facility		$91.16	$91.16	$203.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.26 / $144.00 / $223.72	Professional		$31.26	$144.00	$223.72
United Facility/Professional Professional Modifier Low / Median / High Price $37.14 / $90.82 / $136.22	Professional		$37.14	$90.82	$136.22