Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $218.78 / $630.96	Facility		$47.86	$218.78	$630.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.96 / $38.02	Professional		$8.91	$10.96	$38.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $31.62 / $31.62	Facility		$31.62	$31.62	$31.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $13.18 / $16.60	Professional		$8.51	$13.18	$16.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $11.48 / $218.78	Facility		$10.00	$11.48	$218.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $11.48 / $45.71	Professional		$11.48	$11.48	$45.71
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $44.67 / $74.13	Facility		$40.74	$44.67	$74.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $25.70 / $57.54	Professional		$21.38	$25.70	$57.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Facility		$10.00	$10.00	$10.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $11.48 / $14.79	Professional		$8.51	$11.48	$14.79
United Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $22.91 / $34.67	Professional		$7.24	$22.91	$34.67