Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.61 / $90.95 / $201.09	Facility		$39.61	$90.95	$201.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.68 / $31.69 / $36.27	Professional		$8.68	$31.69	$36.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.14 / $26.14 / $26.14	Facility		$26.14	$26.14	$26.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.90 / $10.74 / $13.42	Professional		$6.90	$10.74	$13.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $8.56 / $8.56 / $8.56	Facility		$8.56	$8.56	$8.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $9.46 / $9.46 / $37.84	Professional		$9.46	$9.46	$37.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $36.42 / $60.96	Facility		$33.11	$36.42	$60.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $21.29 / $118.09	Professional		$8.51	$21.29	$118.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.56 / $8.56 / $33.11	Facility		$8.56	$8.56	$33.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.46 / $12.22 / $13.66	Professional		$9.46	$12.22	$13.66
United Facility/Professional Professional Modifier Low / Median / High Price $5.94 / $18.92 / $28.54	Professional		$5.94	$18.92	$28.54