Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $70.79 / $154.88	Professional		$69.18	$70.79	$154.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $77.62	Professional		$54.95	$54.95	$77.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $125.89 / $177.83	Facility		$37.15	$125.89	$177.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $177.83 / $354.81	Professional		$112.20	$177.83	$354.81
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $177.83 / $186.21	Facility		$102.33	$177.83	$186.21
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $177.83 / $181.97	Professional		$144.54	$177.83	$181.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $158.49	Facility		$37.15	$37.15	$158.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $75.86 / $109.65	Professional		$54.95	$75.86	$109.65
United Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $66.07	Facility		$57.54	$57.54	$66.07
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $134.90 / $457.09	Professional		$87.10	$134.90	$457.09