Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.64 / $62.04 / $159.37	Facility		$49.64	$62.04	$159.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.64 / $66.56 / $73.20	Professional		$49.64	$66.56	$73.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.36 / $70.36 / $70.36	Professional		$70.36	$70.36	$70.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $69.04 / $69.04 / $69.04	Facility		$69.04	$69.04	$69.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $62.82 / $62.82 / $62.82	Professional		$62.82	$62.82	$62.82
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.78 / $101.78 / $159.94	Facility		$101.78	$101.78	$159.94
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.28 / $48.28 / $48.28	Professional		$48.28	$48.28	$48.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.04 / $101.78 / $239.91	Facility		$69.04	$101.78	$239.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $46.96 / $46.96 / $70.36	Professional		$46.96	$46.96	$70.36
United Facility/Professional Professional Modifier Low / Median / High Price $63.70 / $63.70 / $76.58	Professional		$63.70	$63.70	$76.58