Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $134.90 / $141.25	Facility		$50.12	$134.90	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.05 / $66.07	Professional		$15.14	$19.05	$66.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Facility		$54.95	$54.95	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $22.91 / $28.18	Professional		$14.45	$22.91	$28.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $19.50 / $100.00	Facility		$17.78	$19.50	$100.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $79.43	Professional		$19.50	$19.50	$79.43
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $75.86 / $125.89	Facility		$69.18	$75.86	$125.89
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $44.67 / $44.67	Professional		$36.31	$44.67	$44.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $17.78	Facility		$17.78	$17.78	$17.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $19.50 / $25.12	Professional		$14.45	$19.50	$25.12
United Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $39.81 / $58.88	Professional		$7.24	$39.81	$58.88