Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.80 / $122.14 / $243.90	Facility		$58.80	$122.14	$243.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.84 / $36.49 / $54.20	Professional		$14.84	$36.49	$54.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.71 / $44.71 / $44.71	Facility		$44.71	$44.71	$44.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.80 / $18.59 / $23.23	Professional		$11.80	$18.59	$23.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.67 / $14.67 / $14.67	Facility		$14.67	$14.67	$14.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.18 / $16.18 / $64.72	Professional		$16.18	$16.18	$64.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.63 / $62.29 / $104.37	Facility		$56.63	$62.29	$104.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.56 / $36.40 / $36.40	Professional		$14.56	$36.40	$36.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.67 / $14.67 / $56.63	Facility		$14.67	$14.67	$56.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.17 / $16.18 / $20.92	Professional		$16.17	$16.18	$20.92
United Facility/Professional Professional Modifier Low / Median / High Price $10.17 / $32.36 / $48.82	Professional		$10.17	$32.36	$48.82