Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $107.15 / $239.88	Facility		$33.88	$107.15	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $12.30 / $45.71	Professional		$10.72	$12.30	$45.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Facility		$38.02	$38.02	$38.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $15.85 / $19.50	Professional		$10.00	$15.85	$19.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $13.49 / $208.93	Facility		$11.75	$13.49	$208.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $17.78 / $57.54	Professional		$13.49	$17.78	$57.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $52.48 / $87.10	Facility		$47.86	$52.48	$87.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $30.90 / $67.61	Professional		$25.12	$30.90	$67.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $11.75 / $11.75	Facility		$11.75	$11.75	$11.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $13.49 / $13.49	Professional		$10.00	$13.49	$13.49
United Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $27.54 / $40.74	Professional		$8.51	$27.54	$40.74