Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.76 / $83.91 / $177.90	Facility		$23.76	$83.91	$177.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.61 / $15.78 / $30.74	Professional		$8.61	$15.78	$30.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.14 / $24.14 / $24.14	Facility		$24.14	$24.14	$24.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.35 / $9.91 / $12.39	Professional		$6.35	$9.91	$12.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $7.63 / $7.63 / $7.63	Facility		$7.63	$7.63	$7.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $8.74 / $8.74 / $34.96	Professional		$8.74	$8.74	$34.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.59 / $33.65 / $56.41	Facility		$30.59	$33.65	$56.41
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.87 / $19.67 / $89.43	Professional		$7.87	$19.67	$89.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $7.63 / $7.63 / $30.59	Facility		$7.63	$7.63	$30.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.74 / $8.74 / $11.31	Professional		$8.74	$8.74	$11.31
United Facility/Professional Professional Modifier Low / Median / High Price $5.49 / $17.48 / $26.37	Professional		$5.49	$17.48	$26.37