Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $67.61 / $112.20	Professional		$60.26	$67.61	$112.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $89.13	Professional		$63.10	$63.10	$89.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $102.33 / $128.82	Facility		$32.36	$102.33	$128.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $128.82 / $354.81	Professional		$112.20	$128.82	$354.81
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $128.82 / $134.90	Facility		$100.00	$128.82	$134.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $128.82 / $131.83	Professional		$104.71	$128.82	$131.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $138.04	Facility		$32.36	$32.36	$138.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $85.11 / $109.65	Professional		$60.26	$85.11	$109.65
United Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $57.54	Facility		$50.12	$50.12	$57.54
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $100.00 / $331.13	Professional		$64.57	$100.00	$331.13