Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $128.82 / $218.78	Facility		$26.30	$128.82	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $16.98 / $58.88	Professional		$14.13	$16.98	$58.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Facility		$48.98	$48.98	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $20.42 / $25.70	Professional		$12.88	$20.42	$25.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $17.78	Facility		$15.85	$15.85	$17.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $70.79	Professional		$17.78	$17.78	$70.79
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $69.18 / $112.20	Facility		$63.10	$69.18	$112.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $40.74 / $40.74	Professional		$32.36	$40.74	$40.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $15.85	Facility		$15.85	$15.85	$15.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $17.38 / $22.91	Professional		$12.88	$17.38	$22.91
United Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $35.48 / $53.70	Professional		$10.96	$35.48	$53.70