Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.12 / $93.34 / $231.40	Facility		$30.12	$93.34	$231.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.65 / $30.21 / $47.10	Professional		$15.65	$30.21	$47.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.97 / $36.97 / $36.97	Facility		$36.97	$36.97	$36.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.71 / $15.28 / $19.10	Professional		$12.71	$15.28	$19.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $9.75 / $9.75 / $68.63	Facility		$9.75	$9.75	$68.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.39 / $13.39 / $53.56	Professional		$13.39	$13.39	$53.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.05 / $30.13 / $131.25	Professional		$12.05	$30.13	$131.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.75 / $9.75 / $9.75	Facility		$9.75	$9.75	$9.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.39 / $17.30 / $19.35	Professional		$13.39	$17.30	$19.35
United Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $26.78 / $40.40	Professional		$8.42	$26.78	$40.40