Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.13 / $61.20 / $103.99	Facility		$13.13	$61.20	$103.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.71 / $29.71 / $57.03	Professional		$29.71	$29.71	$57.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.52 / $24.52 / $24.52	Facility		$24.52	$24.52	$24.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.53 / $9.91 / $12.39	Professional		$6.53	$9.91	$12.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $8.03 / $8.03 / $8.03	Facility		$8.03	$8.03	$8.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $8.86 / $8.86 / $35.47	Professional		$8.86	$8.86	$35.47
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.04 / $34.15 / $57.26	Facility		$31.04	$34.15	$57.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.98 / $19.96 / $19.96	Professional		$7.98	$19.96	$19.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.03 / $8.03 / $31.04	Facility		$8.03	$8.03	$31.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.86 / $11.48 / $12.82	Professional		$8.86	$11.48	$12.82
United Facility/Professional Professional Modifier Low / Median / High Price $5.58 / $17.73 / $26.76	Professional		$5.58	$17.73	$26.76