Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.59 / $63.49 / $224.46	Facility		$40.59	$63.49	$224.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $37.42 / $63.01	Professional		$33.88	$37.42	$63.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Professional		$33.88	$33.88	$33.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $34.47 / $63.01 / $90.10	Facility		$34.47	$63.01	$90.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $67.76	Professional		$33.88	$33.88	$67.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.20 / $62.55 / $98.30	Facility		$53.20	$62.55	$98.30
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.68 / $53.62 / $53.62	Professional		$44.68	$53.62	$53.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $63.01 / $90.10	Facility		$33.88	$63.01	$90.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $41.10 / $52.56	Professional		$33.88	$41.10	$52.56
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $50.82 / $85.90	Professional		$33.88	$50.82	$85.90