Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $229.09 / $363.08	Facility		$128.82	$229.09	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $26.92 / $100.00	Professional		$22.91	$26.92	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Facility		$81.28	$81.28	$81.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $213.80	Facility		$29.51	$29.51	$213.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $60.26 / $95.50	Professional		$29.51	$60.26	$95.50
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $109.65 / $117.49	Facility		$104.71	$109.65	$117.49
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Professional		$66.07	$66.07	$66.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $81.28 / $141.25	Facility		$23.44	$81.28	$141.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $60.26	Professional		$29.51	$29.51	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $58.88 / $89.13	Professional		$17.78	$58.88	$89.13