Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.80 / $166.24 / $512.54	Facility		$64.80	$166.24	$512.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.57 / $80.70 / $100.87	Professional		$16.57	$80.70	$100.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.56 / $66.56 / $66.56	Facility		$66.56	$66.56	$66.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.25 / $27.67 / $34.59	Professional		$13.25	$27.67	$34.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.54 / $17.54 / $17.54	Facility		$17.54	$17.54	$17.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $24.09 / $24.09 / $96.36	Professional		$24.09	$24.09	$96.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $84.32 / $92.75 / $116.51	Facility		$84.32	$92.75	$116.51
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.68 / $54.20 / $54.20	Professional		$21.68	$54.20	$54.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.54 / $17.54 / $84.32	Facility		$17.54	$17.54	$84.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.68 / $23.35 / $26.08	Professional		$21.68	$23.35	$26.08
United Facility/Professional Professional Modifier Low / Median / High Price $11.35 / $48.18 / $48.18	Professional		$11.35	$48.18	$48.18