Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.37 / $113.00 / $214.31	Facility		$27.37	$113.00	$214.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.52 / $18.42 / $28.73	Professional		$9.52	$18.42	$28.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.57 / $22.57 / $22.57	Facility		$22.57	$22.57	$22.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.99 / $9.50 / $11.87	Professional		$5.99	$9.50	$11.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $6.62 / $6.62 / $6.62	Facility		$6.62	$6.62	$6.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $8.17 / $8.17 / $32.68	Professional		$8.17	$8.17	$32.68
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.60 / $31.45 / $52.66	Facility		$28.60	$31.45	$52.66
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.35 / $18.38 / $132.56	Professional		$7.35	$18.38	$132.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.62 / $6.62 / $28.60	Facility		$6.62	$6.62	$28.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.17 / $10.55 / $11.80	Professional		$8.17	$10.55	$11.80
United Facility/Professional Professional Modifier Low / Median / High Price $5.14 / $16.34 / $24.65	Professional		$5.14	$16.34	$24.65