Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.92 / $52.92 / $52.92	Facility		$52.92	$52.92	$52.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.18 / $26.69 / $43.27	Professional		$19.18	$26.69	$43.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.97 / $29.65 / $80.65	Professional		$17.97	$29.65	$80.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.41 / $43.27 / $61.88	Facility		$20.41	$43.27	$61.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $34.76 / $53.37 / $96.25	Professional		$34.76	$53.37	$96.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.04 / $74.25 / $114.91	Professional		$37.04	$74.25	$114.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.35 / $43.27 / $61.88	Facility		$18.35	$43.27	$61.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.95 / $60.50 / $117.60	Professional		$21.95	$60.50	$117.60
United Facility/Professional Professional Modifier Low / Median / High Price $18.98 / $54.70 / $118.09	Professional		$18.98	$54.70	$118.09