Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.66 / $402.07 / $889.01	Facility		$75.66	$402.07	$889.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.92 / $19.92 / $19.92	Professional		$19.92	$19.92	$19.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.62 / $29.62 / $30.93	Professional		$29.62	$29.62	$30.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.49 / $242.07 / $493.65	Facility		$28.49	$242.07	$493.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $9.64 / $13.78	Professional		$9.64	$9.64	$13.78
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $39.15 / $112.50	Professional		$35.00	$39.15	$112.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.49 / $28.49 / $28.49	Facility		$28.49	$28.49	$28.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.78 / $42.00 / $80.92	Professional		$13.78	$42.00	$80.92
United Facility/Professional Professional Modifier Low / Median / High Price $19.63 / $30.08 / $129.60	Professional		$19.63	$30.08	$129.60