Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.10 / $86.89 / $170.00	Facility		$48.10	$86.89	$170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.63 / $38.79 / $44.40	Professional		$10.63	$38.79	$44.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.00 / $32.00 / $32.00	Facility		$32.00	$32.00	$32.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $13.22 / $16.52	Professional		$8.52	$13.22	$16.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.53 / $12.53 / $12.53	Facility		$12.53	$12.53	$12.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.58 / $11.58 / $46.32	Professional		$11.58	$11.58	$46.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.53 / $44.58 / $74.66	Facility		$40.53	$44.58	$74.66
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.42 / $26.06 / $26.06	Professional		$10.42	$26.06	$26.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.53 / $12.53 / $40.53	Facility		$12.53	$12.53	$40.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.57 / $11.58 / $14.96	Professional		$11.57	$11.58	$14.96
United Facility/Professional Professional Modifier Low / Median / High Price $7.28 / $23.16 / $34.94	Professional		$7.28	$23.16	$34.94