Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $122.63 / $208.36	Facility		$26.30	$122.63	$208.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.53 / $59.53 / $114.26	Professional		$59.53	$59.53	$114.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.09 / $49.09 / $49.09	Facility		$49.09	$49.09	$49.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.07 / $20.65 / $25.81	Professional		$11.07	$20.65	$25.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.23 / $19.23 / $19.23	Facility		$19.23	$19.23	$19.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.77 / $17.77 / $71.08	Professional		$17.77	$17.77	$71.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.20 / $68.41 / $97.22	Facility		$62.20	$68.41	$97.22
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.99 / $39.97 / $39.97	Professional		$15.99	$39.97	$39.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.23 / $19.23 / $62.20	Facility		$19.23	$19.23	$62.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.99 / $19.48 / $21.78	Professional		$15.99	$19.48	$21.78
United Facility/Professional Professional Modifier Low / Median / High Price $9.48 / $35.54 / $53.62	Professional		$9.48	$35.54	$53.62