Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.15 / $98.61 / $167.55	Facility		$21.15	$98.61	$167.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.11 / $47.87 / $47.87	Professional		$13.11	$47.87	$47.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.47 / $39.47 / $39.47	Facility		$39.47	$39.47	$39.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.53 / $16.52 / $20.65	Professional		$10.53	$16.52	$20.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.95 / $12.95 / $12.95	Facility		$12.95	$12.95	$12.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.29 / $14.29 / $57.16	Professional		$14.29	$14.29	$57.16
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.02 / $55.02 / $92.15	Facility		$50.02	$55.02	$92.15
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.86 / $32.15 / $32.15	Professional		$12.86	$32.15	$32.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.95 / $12.95 / $50.02	Facility		$12.95	$12.95	$50.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.29 / $14.29 / $18.47	Professional		$14.29	$14.29	$18.47
United Facility/Professional Professional Modifier Low / Median / High Price $8.99 / $28.58 / $43.12	Professional		$8.99	$28.58	$43.12