Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.48 / $50.48 / $51.26	Facility		$50.48	$50.48	$51.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.26 / $28.54 / $63.53	Professional		$19.26	$28.54	$63.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.29 / $54.54 / $143.19	Professional		$48.29	$54.54	$143.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $23.50 / $41.91 / $64.12	Facility		$23.50	$41.91	$64.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $44.48 / $53.37 / $82.25	Professional		$44.48	$53.37	$82.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.05 / $75.59 / $157.60	Professional		$31.05	$75.59	$157.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.53 / $41.91 / $64.12	Facility		$21.53	$41.91	$64.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.50 / $51.75 / $164.22	Professional		$27.50	$51.75	$164.22
United Facility/Professional Professional Modifier Low / Median / High Price $48.12 / $53.04 / $114.51	Professional		$48.12	$53.04	$114.51