Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.06 / $358.65 / $45,742.08	Facility		$52.06	$358.65	$45,742.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.06 / $61.21 / $103.50	Professional		$52.06	$61.21	$103.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.65 / $55.65 / $55.65	Professional		$55.65	$55.65	$55.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $56.20 / $103.50 / $144.90	Facility		$56.20	$103.50	$144.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $55.65 / $55.65 / $111.30	Professional		$55.65	$55.65	$111.30
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.43 / $91.70 / $144.10	Facility		$78.43	$91.70	$144.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.50 / $78.59 / $78.59	Professional		$65.50	$78.59	$78.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $55.65 / $103.50 / $144.90	Facility		$55.65	$103.50	$144.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $55.65 / $59.50 / $75.06	Professional		$55.65	$59.50	$75.06
United Facility/Professional Professional Modifier Low / Median / High Price $58.99 / $83.48 / $166.95	Professional		$58.99	$83.48	$166.95