Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.84 / $68.36 / $127.40	Facility		$37.84	$68.36	$127.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.17 / $30.52 / $34.93	Professional		$8.17	$30.52	$34.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.16 / $25.16 / $25.16	Facility		$25.16	$25.16	$25.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.53 / $10.33 / $12.91	Professional		$6.53	$10.33	$12.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $9.85 / $9.85 / $9.85	Facility		$9.85	$9.85	$9.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $9.11 / $9.11 / $36.44	Professional		$9.11	$9.11	$36.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.88 / $35.07 / $57.40	Facility		$31.88	$35.07	$57.40
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.19 / $20.50 / $20.50	Professional		$8.19	$20.50	$20.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.85 / $9.85 / $31.88	Facility		$9.85	$9.85	$31.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.89 / $11.50 / $12.84	Professional		$8.89	$11.50	$12.84
United Facility/Professional Professional Modifier Low / Median / High Price $5.59 / $18.22 / $27.49	Professional		$5.59	$18.22	$27.49