Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.02 / $60.73 / $103.18	Facility		$13.02	$60.73	$103.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.61 / $29.48 / $33.74	Professional		$7.61	$29.48	$33.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.31 / $24.31 / $24.31	Facility		$24.31	$24.31	$24.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.99 / $9.91 / $12.39	Professional		$5.99	$9.91	$12.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $7.50 / $7.50 / $7.50	Facility		$7.50	$7.50	$7.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $8.80 / $8.80 / $35.20	Professional		$8.80	$8.80	$35.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.80 / $33.88 / $53.33	Facility		$30.80	$33.88	$53.33
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.92 / $19.80 / $19.80	Professional		$7.92	$19.80	$19.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $7.50 / $7.50 / $30.80	Facility		$7.50	$7.50	$30.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.27 / $10.69 / $11.94	Professional		$8.27	$10.69	$11.94
United Facility/Professional Professional Modifier Low / Median / High Price $5.20 / $17.60 / $26.55	Professional		$5.20	$17.60	$26.55