Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.25 / $359.95 / $945.36	Facility		$34.25	$359.95	$945.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.36 / $27.40 / $51.22	Professional		$16.36	$27.40	$51.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $14.73 / $14.73	Professional		$14.73	$14.73	$14.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $39.18 / $39.18 / $216.37	Facility		$39.18	$39.18	$216.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $14.73 / $47.43	Professional		$14.73	$14.73	$47.43
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.19 / $23.86 / $37.49	Facility		$22.19	$23.86	$37.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.24 / $34.08 / $56.23	Facility		$22.24	$34.08	$56.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $14.73 / $15.99	Professional		$14.73	$14.73	$15.99
United Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $22.10 / $29.71	Professional		$14.73	$22.10	$29.71