Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.07 / $79.64 / $133.38	Facility		$17.07	$79.64	$133.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.90 / $13.40 / $38.65	Professional		$11.90	$13.40	$38.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.88 / $31.88 / $31.88	Facility		$31.88	$31.88	$31.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.44 / $13.22 / $16.52	Professional		$7.44	$13.22	$16.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $9.24 / $9.24 / $9.24	Facility		$9.24	$9.24	$9.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.54 / $11.54 / $46.16	Professional		$11.54	$11.54	$46.16
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.39 / $44.43 / $65.73	Facility		$40.39	$44.43	$65.73
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.39 / $25.97 / $25.97	Professional		$10.39	$25.97	$25.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.24 / $9.24 / $40.39	Facility		$9.24	$9.24	$40.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.39 / $11.54 / $13.18	Professional		$10.39	$11.54	$13.18
United Facility/Professional Professional Modifier Low / Median / High Price $6.41 / $23.08 / $34.82	Professional		$6.41	$23.08	$34.82