Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.89 / $86.35 / $138.79	Facility		$49.89	$86.35	$138.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.08 / $40.22 / $50.28	Professional		$11.08	$40.22	$50.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.19 / $33.19 / $33.19	Facility		$33.19	$33.19	$33.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.89 / $13.63 / $17.04	Professional		$8.89	$13.63	$17.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.90 / $10.90 / $10.90	Facility		$10.90	$10.90	$10.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.01 / $12.01 / $48.04	Professional		$12.01	$12.01	$48.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.04 / $46.24 / $77.50	Facility		$42.04	$46.24	$77.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.81 / $27.02 / $27.02	Professional		$10.81	$27.02	$27.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.90 / $10.90 / $42.04	Facility		$10.90	$10.90	$42.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.01 / $15.53 / $17.37	Professional		$12.01	$15.53	$17.37
United Facility/Professional Professional Modifier Low / Median / High Price $7.56 / $24.02 / $36.24	Professional		$7.56	$24.02	$36.24