Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.96 / $234.58 / $234.58	Facility		$42.96	$234.58	$234.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.91 / $21.51 / $35.13	Professional		$17.91	$21.51	$35.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.64 / $30.59 / $55.66	Professional		$17.64	$30.59	$55.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.01 / $35.13 / $50.24	Facility		$21.01	$35.13	$50.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $30.04 / $57.78 / $89.29	Professional		$30.04	$57.78	$89.29
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.60 / $67.20 / $109.20	Professional		$33.60	$67.20	$109.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.25 / $35.13 / $50.24	Facility		$17.25	$35.13	$50.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.03 / $50.40 / $103.60	Professional		$22.03	$50.40	$103.60
United Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $44.54 / $57.42	Professional		$19.00	$44.54	$57.42