Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.71 / $90.43 / $219.00	Facility		$47.71	$90.43	$219.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.08 / $40.36 / $40.36	Professional		$11.08	$40.36	$40.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.28 / $33.28 / $33.28	Facility		$33.28	$33.28	$33.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $21.72 / $41.08	Professional		$21.48	$21.72	$41.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.35 / $13.35 / $13.35	Facility		$13.35	$13.35	$13.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.05 / $12.05 / $48.20	Professional		$12.05	$12.05	$48.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.18 / $46.39 / $77.73	Facility		$42.18	$46.39	$77.73
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.85 / $27.11 / $27.11	Professional		$10.85	$27.11	$27.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.35 / $13.35 / $42.18	Facility		$13.35	$13.35	$42.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.05 / $15.58 / $21.72	Professional		$12.05	$15.58	$21.72
United Facility/Professional Professional Modifier Low / Median / High Price $7.58 / $24.10 / $36.36	Professional		$7.58	$24.10	$36.36