Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $67.61 / $114.82	Facility		$14.13	$67.61	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $8.91 / $30.90	Professional		$7.08	$8.91	$30.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $26.30 / $26.30	Facility		$26.30	$26.30	$26.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $10.72 / $13.49	Professional		$5.13	$10.72	$13.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $6.92 / $9.33	Facility		$6.92	$6.92	$9.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $9.33 / $38.02	Professional		$9.33	$9.33	$38.02
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $36.31 / $44.67	Facility		$33.11	$36.31	$44.67
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $21.38 / $21.38	Professional		$14.13	$21.38	$21.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $6.92 / $6.92	Facility		$6.92	$6.92	$6.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $9.33 / $9.33	Professional		$5.13	$9.33	$9.33
United Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $19.05 / $28.18	Professional		$4.37	$19.05	$28.18