Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.05 / $0.05 / $676.08	Facility		$0.05	$0.05	$676.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $194.98	Professional		$104.71	$104.71	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $125.89 / $263.03	Facility		$104.71	$125.89	$263.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $125.89 / $263.03	Professional		$104.71	$125.89	$263.03
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $269.15 / $426.58	Facility		$104.71	$269.15	$426.58
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $229.09 / $229.09	Professional		$190.55	$229.09	$229.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $165.96 / $588.84	Facility		$104.71	$165.96	$588.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $186.21	Professional		$72.44	$72.44	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $154.88 / $309.03	Professional		$104.71	$154.88	$309.03