Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.62 / $105.14 / $211.75	Facility		$75.62	$105.14	$211.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $60.50 / $60.50	Professional		$16.60	$60.50	$60.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.90 / $49.90 / $49.90	Facility		$49.90	$49.90	$49.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.25 / $20.65 / $25.81	Professional		$13.25	$20.65	$25.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.37 / $16.37 / $16.37	Facility		$16.37	$16.37	$16.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $18.05 / $72.23	Professional		$18.05	$18.05	$72.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.21 / $69.53 / $116.51	Facility		$63.21	$69.53	$116.51
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.25 / $40.64 / $202.63	Professional		$16.25	$40.64	$202.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.37 / $16.37 / $63.21	Facility		$16.37	$16.37	$63.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $18.05 / $23.35	Professional		$18.05	$18.05	$23.35
United Facility/Professional Professional Modifier Low / Median / High Price $11.35 / $36.11 / $54.49	Professional		$11.35	$36.11	$54.49