Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.36 / $86.61 / $306.18	Facility		$39.36	$86.61	$306.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.78 / $87.48 / $87.48	Professional		$53.78	$87.48	$87.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.08 / $55.08 / $55.08	Professional		$55.08	$55.08	$55.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $125.10 / $125.10 / $125.10	Facility		$125.10	$125.10	$125.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $27.93 / $27.93 / $39.90	Professional		$27.93	$27.93	$39.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.72 / $90.72 / $142.56	Facility		$90.72	$90.72	$142.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $90.72 / $125.10 / $213.84	Facility		$90.72	$125.10	$213.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.93 / $39.90 / $55.08	Professional		$27.93	$39.90	$55.08
United Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $81.00 / $108.93	Professional		$54.00	$81.00	$108.93