Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $77.62 / $95.50	Facility		$30.90	$77.62	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.98 / $15.14	Professional		$3.02	$3.98	$15.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $12.30 / $12.30	Facility		$12.30	$12.30	$12.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $5.37 / $6.76	Professional		$3.24	$5.37	$6.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $4.07 / $32.36	Facility		$4.07	$4.07	$32.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $4.47 / $15.14	Professional		$4.47	$4.47	$15.14
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $17.38 / $28.84	Facility		$15.85	$17.38	$28.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $10.00 / $21.88	Professional		$8.32	$10.00	$21.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $4.07 / $4.07	Facility		$4.07	$4.07	$4.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $4.47 / $5.75	Professional		$3.24	$4.47	$5.75
United Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $8.91 / $13.49	Professional		$2.82	$8.91	$13.49