Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Facility		$263.03	$263.03	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $45.71 / $74.13	Professional		$44.67	$45.71	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Professional		$46.77	$46.77	$46.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $107.15 / $263.03	Facility		$74.13	$107.15	$263.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $44.67 / $74.13	Professional		$26.92	$44.67	$74.13
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $120.23	Facility		$77.62	$77.62	$120.23
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Professional		$52.48	$52.48	$52.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $107.15	Facility		$74.13	$74.13	$107.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $46.77 / $60.26	Professional		$26.92	$46.77	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $69.18 / $269.15	Professional		$45.71	$69.18	$269.15