Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.89 / $76.89 / $93.04	Professional		$76.89	$76.89	$93.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.54 / $61.54 / $61.54	Facility		$61.54	$61.54	$61.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.92 / $61.54 / $146.81	Professional		$44.92	$61.54	$146.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26.46 / $26.46 / $26.46	Facility		$26.46	$26.46	$26.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $85.26 / $85.26 / $134.63	Professional		$85.26	$85.26	$134.63
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.65 / $87.65 / $87.65	Professional		$87.65	$87.65	$87.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.46 / $26.46 / $61.54	Facility		$26.46	$26.46	$61.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.92 / $65.61 / $105.18	Professional		$44.92	$65.61	$105.18
United Facility/Professional Professional Modifier Low / Median / High Price $43.38 / $72.67 / $111.95	Professional		$43.38	$72.67	$111.95