Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.57 / $77.29 / $131.32	Facility		$16.57	$77.29	$131.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.52 / $37.52 / $72.02	Professional		$37.52	$37.52	$72.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.94 / $30.94 / $30.94	Facility		$30.94	$30.94	$30.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.17 / $13.22 / $16.52	Professional		$8.17	$13.22	$16.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.14 / $10.14 / $10.14	Facility		$10.14	$10.14	$10.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.20 / $11.20 / $44.80	Professional		$11.20	$11.20	$44.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.20 / $43.12 / $72.23	Facility		$39.20	$43.12	$72.23
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.08 / $25.20 / $25.20	Professional		$10.08	$25.20	$25.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.14 / $10.14 / $39.20	Facility		$10.14	$10.14	$39.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.20 / $14.48 / $16.18	Professional		$11.20	$14.48	$16.18
United Facility/Professional Professional Modifier Low / Median / High Price $7.04 / $22.40 / $33.79	Professional		$7.04	$22.40	$33.79