Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.90 / $69.56 / $117.65	Facility		$22.90	$69.56	$117.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.38 / $34.10 / $39.03	Professional		$13.38	$34.10	$39.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.14 / $28.14 / $28.14	Facility		$28.14	$28.14	$28.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.44 / $11.56 / $14.46	Professional		$7.44	$11.56	$14.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $7.42 / $7.42 / $7.42	Facility		$7.42	$7.42	$7.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.18 / $10.18 / $40.72	Professional		$10.18	$10.18	$40.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.63 / $39.19 / $65.65	Facility		$35.63	$39.19	$65.65
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.16 / $22.91 / $22.91	Professional		$9.16	$22.91	$22.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $7.42 / $7.42 / $35.63	Facility		$7.42	$7.42	$35.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.18 / $13.16 / $14.71	Professional		$10.18	$13.16	$14.71
United Facility/Professional Professional Modifier Low / Median / High Price $6.40 / $20.36 / $25.12	Professional		$6.40	$20.36	$25.12