Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.39 / $89.22 / $376.20	Facility		$49.39	$89.22	$376.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.94 / $39.83 / $45.59	Professional		$10.94	$39.83	$45.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.85 / $32.85 / $32.85	Facility		$32.85	$32.85	$32.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $13.63 / $17.04	Professional		$8.71	$13.63	$17.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.78 / $10.78 / $10.78	Facility		$10.78	$10.78	$10.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.89 / $11.89 / $47.56	Professional		$11.89	$11.89	$47.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.62 / $45.78 / $76.69	Facility		$41.62	$45.78	$76.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.70 / $26.75 / $26.75	Professional		$10.70	$26.75	$26.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.78 / $10.78 / $41.62	Facility		$10.78	$10.78	$41.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.89 / $11.89 / $17.19	Professional		$11.89	$11.89	$17.19
United Facility/Professional Professional Modifier Low / Median / High Price $7.48 / $23.78 / $35.86	Professional		$7.48	$23.78	$35.86