Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.34 / $69.33 / $183.99	Facility		$32.34	$69.33	$183.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.57 / $20.92 / $55.99	Professional		$18.57	$20.92	$55.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.99 / $43.99 / $43.99	Facility		$43.99	$43.99	$43.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.62 / $18.17 / $22.72	Professional		$11.62	$18.17	$22.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.42 / $14.42 / $14.42	Facility		$14.42	$14.42	$14.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.92 / $15.92 / $63.68	Professional		$15.92	$15.92	$63.68
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.33 / $35.82 / $35.82	Professional		$14.33	$35.82	$35.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.42 / $14.42 / $14.42	Facility		$14.42	$14.42	$14.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.90 / $15.92 / $20.57	Professional		$15.90	$15.92	$20.57
United Facility/Professional Professional Modifier Low / Median / High Price $8.14 / $31.84 / $39.28	Professional		$8.14	$31.84	$39.28