Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $40.74 / $95.50	Professional		$33.88	$40.74	$95.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Facility		$36.31	$36.31	$36.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $37.15	Professional		$26.30	$26.30	$37.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $57.54 / $107.15	Facility		$18.62	$57.54	$107.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $107.15 / $186.21	Professional		$58.88	$107.15	$186.21
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $107.15 / $112.20	Facility		$53.70	$107.15	$112.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $107.15 / $109.65	Professional		$87.10	$107.15	$109.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $18.62 / $79.43	Facility		$18.62	$18.62	$79.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $45.71 / $60.26	Professional		$26.30	$45.71	$60.26
United Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $43.65	Facility		$38.02	$38.02	$43.65
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $54.95 / $138.04	Professional		$43.65	$54.95	$138.04