Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $112.20 / $194.98	Facility		$23.44	$112.20	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.14 / $52.48	Professional		$12.02	$15.14	$52.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Facility		$43.65	$43.65	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $18.20 / $22.91	Professional		$10.72	$18.20	$22.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $13.18 / $15.85	Facility		$13.18	$13.18	$15.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $63.10	Professional		$15.85	$15.85	$63.10
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $60.26 / $93.33	Facility		$54.95	$60.26	$93.33
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $35.48 / $35.48	Professional		$26.92	$35.48	$35.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $13.18 / $13.18	Facility		$13.18	$13.18	$13.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $14.45 / $18.62	Professional		$10.72	$14.45	$18.62
United Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $31.62 / $47.86	Professional		$9.12	$31.62	$47.86