Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.00 / $88.50 / $149.66	Facility		$41.00	$88.50	$149.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.92 / $43.38 / $43.38	Professional		$11.92	$43.38	$43.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.79 / $35.79 / $35.79	Facility		$35.79	$35.79	$35.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $14.87 / $18.59	Professional		$9.44	$14.87	$18.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $11.75 / $11.75	Facility		$11.75	$11.75	$11.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.95 / $12.95 / $51.80	Professional		$12.95	$12.95	$51.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.32 / $49.86 / $83.52	Facility		$45.32	$49.86	$83.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.66 / $29.14 / $29.14	Professional		$11.66	$29.14	$29.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $11.75 / $45.32	Facility		$11.75	$11.75	$45.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.95 / $12.95 / $18.71	Professional		$12.95	$12.95	$18.71
United Facility/Professional Professional Modifier Low / Median / High Price $8.14 / $25.90 / $39.07	Professional		$8.14	$25.90	$39.07