Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.81 / $83.81 / $83.81	Professional		$83.81	$83.81	$83.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.44 / $36.44 / $36.44	Facility		$36.44	$36.44	$36.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.97 / $36.44 / $37.53	Professional		$30.97	$36.44	$37.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.58 / $31.54 / $47.85	Facility		$20.58	$31.54	$47.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.62 / $53.23 / $99.37	Professional		$7.62	$53.23	$99.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.82 / $43.67 / $109.18	Professional		$7.82	$43.67	$109.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.38 / $31.63 / $47.31	Facility		$23.38	$31.63	$47.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.97 / $36.44 / $37.53	Professional		$30.97	$36.44	$37.53
United Facility/Professional Professional Modifier Low / Median / High Price $39.79 / $76.26 / $173.58	Professional		$39.79	$76.26	$173.58