Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.13 / $88.27 / $226.80	Facility		$47.13	$88.27	$226.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.77 / $42.85 / $49.04	Professional		$11.77	$42.85	$49.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.32 / $35.32 / $35.32	Facility		$35.32	$35.32	$35.32
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 $11.16 / $11.16 / $11.16	Facility		$11.16	$11.16	$11.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.79 / $12.79 / $51.16	Professional		$12.79	$12.79	$51.16
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.77 / $49.24 / $82.57	Facility		$44.77	$49.24	$82.57
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.51 / $28.78 / $28.78	Professional		$11.51	$28.78	$28.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.16 / $11.16 / $44.77	Facility		$11.16	$11.16	$44.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.79 / $12.80 / $16.55	Professional		$12.79	$12.80	$16.55
United Facility/Professional Professional Modifier Low / Median / High Price $8.05 / $25.58 / $38.59	Professional		$8.05	$25.58	$38.59