Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.44 / $127.95 / $217.39	Facility		$27.44	$127.95	$217.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.01 / $62.11 / $71.08	Professional		$17.01	$62.11	$71.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.21 / $51.21 / $51.21	Facility		$51.21	$51.21	$51.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.61 / $21.06 / $26.33	Professional		$13.61	$21.06	$26.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.80 / $16.80 / $16.80	Facility		$16.80	$16.80	$16.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.54 / $18.54 / $74.16	Professional		$18.54	$18.54	$74.16
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.89 / $71.38 / $119.59	Facility		$64.89	$71.38	$119.59
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.69 / $41.72 / $41.72	Professional		$16.69	$41.72	$41.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.80 / $16.80 / $64.89	Facility		$16.80	$16.80	$64.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.54 / $18.54 / $26.79	Professional		$18.54	$18.54	$26.79
United Facility/Professional Professional Modifier Low / Median / High Price $11.66 / $37.08 / $55.94	Professional		$11.66	$37.08	$55.94