Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.97 / $65.14 / $110.67	Facility		$13.97	$65.14	$110.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $60.70	Professional		$31.62	$31.62	$60.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.10 / $26.10 / $26.10	Facility		$26.10	$26.10	$26.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $10.74 / $13.42	Professional		$4.90	$10.74	$13.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $6.88 / $6.88 / $6.88	Facility		$6.88	$6.88	$6.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $9.44 / $37.76	Professional		$9.44	$9.44	$37.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.04 / $36.34 / $43.51	Facility		$33.04	$36.34	$43.51
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.50 / $21.24 / $21.24	Professional		$8.50	$21.24	$21.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.88 / $6.88 / $33.04	Facility		$6.88	$6.88	$33.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.72 / $8.72 / $9.44	Professional		$8.72	$8.72	$9.44
United Facility/Professional Professional Modifier Low / Median / High Price $4.24 / $18.88 / $28.48	Professional		$4.24	$18.88	$28.48