Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.14 / $63.14 / $63.14	Professional		$63.14	$63.14	$63.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.86 / $39.86 / $39.86	Facility		$39.86	$39.86	$39.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $39.86 / $41.06	Professional		$33.88	$39.86	$41.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.16 / $18.16 / $18.16	Facility		$18.16	$18.16	$18.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $63.01 / $63.01 / $99.50	Professional		$63.01	$63.01	$99.50
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.09 / $58.09 / $64.78	Facility		$58.09	$58.09	$64.78
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.49 / $64.78 / $133.60	Professional		$52.49	$64.78	$133.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.16 / $18.16 / $55.16	Facility		$18.16	$18.16	$55.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.86 / $53.44 / $82.08	Professional		$39.86	$53.44	$82.08
United Facility/Professional Professional Modifier Low / Median / High Price $33.10 / $63.43 / $115.84	Professional		$33.10	$63.43	$115.84