Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.31 / $137.85 / $572.04	Facility		$76.31	$137.85	$572.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.91 / $61.54 / $70.43	Professional		$16.91	$61.54	$70.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.75 / $50.75 / $50.75	Facility		$50.75	$50.75	$50.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.43 / $21.06 / $26.33	Professional		$13.43	$21.06	$26.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.66 / $16.66 / $16.66	Facility		$16.66	$16.66	$16.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.37 / $18.37 / $73.48	Professional		$18.37	$18.37	$73.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.30 / $70.72 / $118.50	Facility		$64.30	$70.72	$118.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.53 / $41.33 / $41.33	Professional		$16.53	$41.33	$41.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.66 / $16.66 / $64.30	Facility		$16.66	$16.66	$64.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.37 / $18.37 / $26.54	Professional		$18.37	$18.37	$26.54
United Facility/Professional Professional Modifier Low / Median / High Price $11.55 / $36.74 / $55.43	Professional		$11.55	$36.74	$55.43