Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.00 / $39.20 / $78.51	Professional		$31.00	$39.20	$78.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.85 / $55.77 / $138.37	Professional		$32.85	$55.77	$138.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $38.68 / $74.13 / $109.91	Facility		$38.68	$74.13	$109.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $76.83 / $98.97 / $161.51	Professional		$76.83	$98.97	$161.51
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $124.20 / $124.20 / $3,495.87	Facility		$124.20	$124.20	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.45 / $129.60 / $196.00	Professional		$73.45	$129.60	$196.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.15 / $74.13 / $109.91	Facility		$35.15	$74.13	$109.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $49.52 / $100.32 / $196.00	Professional		$49.52	$100.32	$196.00
United Facility/Professional Professional Modifier Low / Median / High Price $85.06 / $110.70 / $193.73	Professional		$85.06	$110.70	$193.73