Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $204.17 / $346.74	Facility		$42.66	$204.17	$346.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $26.92 / $95.50	Professional		$22.91	$26.92	$95.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $32.36 / $40.74	Professional		$14.45	$32.36	$40.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $28.18	Facility		$20.89	$20.89	$28.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $114.82	Professional		$28.18	$28.18	$114.82
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $109.65 / $128.82	Facility		$100.00	$109.65	$128.82
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $64.57 / $64.57	Professional		$40.74	$64.57	$64.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Facility		$20.89	$20.89	$20.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $25.70 / $28.18	Professional		$14.45	$25.70	$28.18
United Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $57.54 / $85.11	Professional		$12.59	$57.54	$85.11