Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.11 / $101.52 / $170.02	Facility		$61.11	$101.52	$170.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.53 / $49.28 / $56.40	Professional		$13.53	$49.28	$56.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.63 / $40.63 / $40.63	Facility		$40.63	$40.63	$40.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.71 / $16.93 / $21.17	Professional		$10.71	$16.93	$21.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.34 / $13.34 / $13.34	Facility		$13.34	$13.34	$13.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.71 / $14.71 / $58.84	Professional		$14.71	$14.71	$58.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.49 / $56.63 / $94.89	Facility		$51.49	$56.63	$94.89
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.24 / $33.10 / $33.10	Professional		$13.24	$33.10	$33.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.34 / $13.34 / $51.49	Facility		$13.34	$13.34	$51.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.71 / $19.02 / $21.25	Professional		$14.71	$19.02	$21.25
United Facility/Professional Professional Modifier Low / Median / High Price $9.25 / $29.42 / $44.38	Professional		$9.25	$29.42	$44.38