Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $138.04 / $138.04	Facility		$109.65	$138.04	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $44.67	Professional		$30.20	$30.20	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Professional		$33.88	$33.88	$33.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $66.07 / $138.04	Facility		$45.71	$66.07	$138.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $32.36 / $57.54	Professional		$22.39	$32.36	$57.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $79.43	Facility		$50.12	$50.12	$79.43
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Professional		$33.88	$33.88	$33.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $66.07	Facility		$45.71	$45.71	$66.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $33.88 / $60.26	Professional		$22.39	$33.88	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $36.31	Professional		$33.88	$33.88	$36.31