Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.04 / $57.74 / $204.12	Facility		$37.04	$57.74	$204.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.67 / $68.23 / $87.30	Professional		$31.67	$68.23	$87.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $36.69 / $36.69	Professional		$36.69	$36.69	$36.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $97.58 / $97.58 / $97.58	Facility		$97.58	$97.58	$97.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $36.69 / $118.14	Professional		$36.69	$36.69	$118.14
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $131.25 / $206.25	Facility		$42.66	$131.25	$206.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $48.27 / $131.25 / $309.38	Facility		$48.27	$131.25	$309.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $36.69 / $39.79	Professional		$36.69	$36.69	$39.79
United Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $55.04 / $74.01	Professional		$36.69	$55.04	$74.01