Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.60 / $103.04 / $601.60	Facility		$21.60	$103.04	$601.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.89 / $19.07 / $59.27	Professional		$9.89	$19.07	$59.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.90 / $37.90 / $37.90	Facility		$37.90	$37.90	$37.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $15.69 / $19.62	Professional		$6.17	$15.69	$19.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Facility		$10.00	$10.00	$10.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.73 / $13.73 / $54.92	Professional		$13.73	$13.73	$54.92
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.36 / $20.60 / $54.92	Professional		$12.36	$20.60	$54.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Facility		$10.00	$10.00	$10.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.93 / $13.73 / $37.76	Professional		$10.93	$13.73	$37.76
United Facility/Professional Professional Modifier Low / Median / High Price $13.73 / $27.46 / $41.43	Professional		$13.73	$27.46	$41.43