Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.12 / $112.50 / $191.14	Facility		$24.12	$112.50	$191.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.61 / $54.61 / $104.81	Professional		$54.61	$54.61	$104.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.05 / $45.05 / $45.05	Facility		$45.05	$45.05	$45.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.72 / $18.59 / $23.23	Professional		$2.72	$18.59	$23.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.87 / $11.87 / $11.87	Facility		$11.87	$11.87	$11.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.30 / $16.30 / $65.20	Professional		$16.30	$16.30	$65.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.72 / $57.05 / $65.20	Facility		$19.72	$57.05	$65.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.67 / $36.68 / $36.68	Professional		$14.67	$36.68	$36.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.87 / $11.87 / $23.32	Facility		$11.87	$11.87	$23.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.67 / $5.22 / $16.30	Professional		$4.67	$5.22	$16.30
United Facility/Professional Professional Modifier Low / Median / High Price $2.27 / $32.60 / $49.18	Professional		$2.27	$32.60	$49.18