Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.60 / $87.69 / $644.13	Facility		$51.60	$87.69	$644.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.30 / $47.19 / $102.76	Professional		$28.30	$47.19	$102.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.37 / $25.37 / $25.37	Professional		$25.37	$25.37	$25.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $67.48 / $67.48 / $123.43	Facility		$67.48	$67.48	$123.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.37 / $25.37 / $81.69	Professional		$25.37	$25.37	$81.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.46 / $134.74 / $211.73	Facility		$50.46	$134.74	$211.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.79 / $134.74 / $317.58	Facility		$32.79	$134.74	$317.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.37 / $25.37 / $27.52	Professional		$25.37	$25.37	$27.52
United Facility/Professional Professional Modifier Low / Median / High Price $25.37 / $38.06 / $51.18	Professional		$25.37	$38.06	$51.18