Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.75 / $82.24 / $192.08	Facility		$9.75	$82.24	$192.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.33 / $21.89 / $34.15	Professional		$11.33	$21.89	$34.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.82 / $26.82 / $26.82	Facility		$26.82	$26.82	$26.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $11.15 / $13.94	Professional		$7.08	$11.15	$13.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $8.31 / $8.31 / $54.45	Facility		$8.31	$8.31	$54.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $9.71 / $9.71 / $38.84	Professional		$9.71	$9.71	$38.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.74 / $21.85 / $101.25	Professional		$8.74	$21.85	$101.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.31 / $8.31 / $8.31	Facility		$8.31	$8.31	$8.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.71 / $9.71 / $12.55	Professional		$9.71	$9.71	$12.55
United Facility/Professional Professional Modifier Low / Median / High Price $6.10 / $19.42 / $29.30	Professional		$6.10	$19.42	$29.30