Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.96 / $166.96 / $166.96	Professional		$166.96	$166.96	$166.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.42 / $44.42 / $44.42	Facility		$44.42	$44.42	$44.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.76 / $44.42 / $45.75	Professional		$37.76	$44.42	$45.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.62 / $38.39 / $52.43	Facility		$22.62	$38.39	$52.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.20 / $114.08 / $240.08	Professional		$15.20	$114.08	$240.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.03 / $59.92 / $200.77	Professional		$13.03	$59.92	$200.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.95 / $39.03 / $51.28	Facility		$25.95	$39.03	$51.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.76 / $44.42 / $45.75	Professional		$37.76	$44.42	$45.75
United Facility/Professional Professional Modifier Low / Median / High Price $79.39 / $152.16 / $419.40	Professional		$79.39	$152.16	$419.40