Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.93 / $68.93 / $68.93	Facility		$68.93	$68.93	$68.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.34 / $25.85 / $56.36	Professional		$24.34	$25.85	$56.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.48 / $38.21 / $83.20	Professional		$23.48	$38.21	$83.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $27.00 / $56.36 / $80.59	Facility		$27.00	$56.36	$80.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $37.28 / $69.87 / $126.00	Professional		$37.28	$69.87	$126.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.40 / $86.40 / $131.76	Professional		$41.40	$86.40	$131.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.75 / $45.54 / $78.90	Facility		$23.75	$45.54	$78.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.66 / $64.80 / $133.19	Professional		$28.66	$64.80	$133.19
United Facility/Professional Professional Modifier Low / Median / High Price $24.45 / $71.78 / $170.48	Professional		$24.45	$71.78	$170.48