Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.89 / $120.70 / $205.07	Facility		$25.89	$120.70	$205.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.59 / $58.59 / $112.46	Professional		$58.59	$58.59	$112.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.32 / $48.32 / $48.32	Facility		$48.32	$48.32	$48.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $20.23 / $25.30	Professional		$7.08	$20.23	$25.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.73 / $12.73 / $12.73	Facility		$12.73	$12.73	$12.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.48 / $17.48 / $69.95	Professional		$17.48	$17.48	$69.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.20 / $61.76 / $69.95	Facility		$52.20	$61.76	$69.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.74 / $39.35 / $39.35	Professional		$15.74	$39.35	$39.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.73 / $12.73 / $52.20	Facility		$12.73	$12.73	$52.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.28 / $9.27 / $17.48	Professional		$8.28	$9.27	$17.48
United Facility/Professional Professional Modifier Low / Median / High Price $6.02 / $34.97 / $52.77	Professional		$6.02	$34.97	$52.77