Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.40 / $172.21 / $318.50	Facility		$79.40	$172.21	$318.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.16 / $24.97 / $63.52	Professional		$22.16	$24.97	$63.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.36 / $52.36 / $52.36	Facility		$52.36	$52.36	$52.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.98 / $21.89 / $27.36	Professional		$13.98	$21.89	$27.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.54 / $16.54 / $16.54	Facility		$16.54	$16.54	$16.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.96 / $18.96 / $75.84	Professional		$18.96	$18.96	$75.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.36 / $73.00 / $122.34	Facility		$66.36	$73.00	$122.34
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.05 / $42.66 / $238.75	Professional		$17.05	$42.66	$238.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.54 / $16.54 / $66.36	Facility		$16.54	$16.54	$66.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.96 / $18.96 / $24.52	Professional		$18.96	$18.96	$24.52
United Facility/Professional Professional Modifier Low / Median / High Price $11.93 / $37.92 / $57.21	Professional		$11.93	$37.92	$57.21