Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.04 / $98.90 / $161.00	Facility		$57.04	$98.90	$161.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.00 / $46.00 / $88.28	Professional		$46.00	$46.00	$88.28
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 $9.44 / $15.69 / $19.62	Professional		$9.44	$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 Facility Modifier Low / Median / High Price $48.06 / $52.86 / $88.59	Facility		$48.06	$52.86	$88.59
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.36 / $28.26 / $67.84	Professional		$12.36	$28.26	$67.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $10.00 / $48.06	Facility		$10.00	$10.00	$48.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.73 / $17.76 / $37.76	Professional		$13.73	$17.76	$37.76
United Facility/Professional Professional Modifier Low / Median / High Price $8.43 / $27.46 / $41.43	Professional		$8.43	$27.46	$41.43