Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $288.40 / $1,258.93	Facility		$10.23	$288.40	$1,258.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $50.12 / $60.26	Professional		$40.74	$50.12	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Professional		$51.29	$51.29	$51.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $50.12 / $85.11	Facility		$8.91	$50.12	$85.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $23.99 / $51.29	Professional		$17.78	$23.99	$51.29
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $97.72 / $131.83	Facility		$85.11	$97.72	$131.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $72.44 / $72.44	Professional		$60.26	$72.44	$72.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $50.12 / $81.28	Facility		$7.59	$50.12	$81.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $51.29 / $51.29	Professional		$11.22	$51.29	$51.29
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $75.86 / $141.25	Professional		$50.12	$75.86	$141.25