Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $268.20	Facility		$75.86	$75.86	$268.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.85 / $75.61 / $110.17	Professional		$49.85	$75.61	$110.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $40.65 / $40.65	Professional		$40.65	$40.65	$40.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $41.20 / $41.20 / $108.12	Facility		$41.20	$41.20	$108.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $40.65 / $73.78	Professional		$40.65	$40.65	$73.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.80 / $78.62 / $123.55	Facility		$62.80	$78.62	$123.55
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.16 / $61.78 / $67.39	Professional		$56.16	$61.78	$67.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.65 / $75.61 / $112.32	Facility		$40.65	$75.61	$112.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $49.51 / $61.78	Professional		$40.65	$49.51	$61.78
United Facility/Professional Professional Modifier Low / Median / High Price $42.68 / $60.98 / $82.00	Professional		$42.68	$60.98	$82.00