Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.75 / $128.13 / $216.70	Facility		$35.75	$128.13	$216.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.26 / $62.81 / $71.89	Professional		$17.26	$62.81	$71.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.81 / $51.81 / $51.81	Facility		$51.81	$51.81	$51.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.79 / $21.48 / $26.85	Professional		$13.79	$21.48	$26.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.36 / $16.36 / $16.36	Facility		$16.36	$16.36	$16.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.75 / $18.75 / $75.00	Professional		$18.75	$18.75	$75.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.63 / $72.19 / $120.96	Facility		$65.63	$72.19	$120.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.88 / $42.19 / $42.19	Professional		$16.88	$42.19	$42.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.36 / $16.36 / $65.63	Facility		$16.36	$16.36	$65.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.75 / $18.75 / $24.24	Professional		$18.75	$18.75	$24.24
United Facility/Professional Professional Modifier Low / Median / High Price $11.79 / $37.50 / $56.57	Professional		$11.79	$37.50	$56.57