Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $117.49 / $302.00	Facility		$58.88	$117.49	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.85 / $57.54	Professional		$12.88	$15.85	$57.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Facility		$47.86	$47.86	$47.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $24.55	Professional		$19.95	$19.95	$24.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $17.38 / $269.15	Facility		$12.59	$17.38	$269.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $30.90 / $69.18	Professional		$17.38	$30.90	$69.18
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $66.07 / $69.18	Facility		$64.57	$66.07	$69.18
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $38.90 / $38.90	Professional		$25.70	$38.90	$38.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $12.59 / $13.49	Facility		$12.59	$12.59	$13.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $16.60 / $17.38	Professional		$16.60	$16.60	$17.38
United Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $34.67 / $52.48	Professional		$7.76	$34.67	$52.48