Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.77 / $92.21 / $156.66	Facility		$19.77	$92.21	$156.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.76 / $44.76 / $85.90	Professional		$44.76	$44.76	$85.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.89 / $36.89 / $36.89	Facility		$36.89	$36.89	$36.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.35 / $15.28 / $19.10	Professional		$6.35	$15.28	$19.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $9.73 / $9.73 / $9.73	Facility		$9.73	$9.73	$9.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.36 / $13.36 / $43.02	Professional		$13.36	$13.36	$43.02
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.76 / $49.43 / $55.55	Facility		$46.76	$49.43	$55.55
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $30.06 / $30.06	Professional		$12.02	$30.06	$30.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.73 / $9.73 / $46.76	Facility		$9.73	$9.73	$46.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.13 / $11.13 / $13.36	Professional		$11.13	$11.13	$13.36
United Facility/Professional Professional Modifier Low / Median / High Price $5.41 / $26.72 / $40.31	Professional		$5.41	$26.72	$40.31