Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.96 / $131.91 / $307.98	Facility		$45.96	$131.91	$307.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.61 / $45.96 / $57.45	Professional		$12.61	$45.96	$57.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.90 / $37.90 / $37.90	Facility		$37.90	$37.90	$37.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.98 / $15.69 / $19.62	Professional		$9.98	$15.69	$19.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.43 / $12.43 / $12.43	Facility		$12.43	$12.43	$12.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.72 / $13.72 / $54.88	Professional		$13.72	$13.72	$54.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.02 / $52.82 / $88.45	Facility		$48.02	$52.82	$88.45
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.35 / $30.87 / $30.87	Professional		$12.35	$30.87	$30.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.43 / $12.43 / $48.02	Facility		$12.43	$12.43	$48.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.72 / $17.73 / $19.80	Professional		$13.72	$17.73	$19.80
United Facility/Professional Professional Modifier Low / Median / High Price $8.61 / $27.44 / $41.40	Professional		$8.61	$27.44	$41.40