Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.62 / $113.94 / $250.54	Facility		$49.62	$113.94	$250.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.91 / $39.70 / $49.62	Professional		$10.91	$39.70	$49.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.72 / $32.72 / $32.72	Facility		$32.72	$32.72	$32.72
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 $10.75 / $10.75 / $10.75	Facility		$10.75	$10.75	$10.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.85 / $11.85 / $47.40	Professional		$11.85	$11.85	$47.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.48 / $45.62 / $76.45	Facility		$41.48	$45.62	$76.45
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.67 / $26.66 / $26.66	Professional		$10.67	$26.66	$26.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.75 / $10.75 / $41.48	Facility		$10.75	$10.75	$41.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.85 / $11.85 / $15.32	Professional		$11.85	$11.85	$15.32
United Facility/Professional Professional Modifier Low / Median / High Price $7.45 / $23.70 / $35.75	Professional		$7.45	$23.70	$35.75