Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.42 / $69.42 / $69.42	Professional		$69.42	$69.42	$69.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.29 / $38.29 / $38.29	Facility		$38.29	$38.29	$38.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.54 / $38.29 / $39.44	Professional		$32.54	$38.29	$39.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.46 / $17.46 / $17.46	Facility		$17.46	$17.46	$17.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $56.33 / $69.28 / $177.87	Professional		$56.33	$69.28	$177.87
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.45 / $47.45 / $71.22	Facility		$47.45	$47.45	$71.22
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.09 / $71.22 / $146.88	Professional		$51.09	$71.22	$146.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.46 / $17.46 / $47.45	Facility		$17.46	$17.46	$47.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.29 / $57.94 / $90.25	Professional		$38.29	$57.94	$90.25
United Facility/Professional Professional Modifier Low / Median / High Price $36.38 / $69.73 / $127.34	Professional		$36.38	$69.73	$127.34