Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $88.03 / $148.87	Facility		$19.05	$88.03	$148.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.85 / $43.15 / $49.38	Professional		$11.85	$43.15	$49.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.57 / $35.57 / $35.57	Facility		$35.57	$35.57	$35.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $14.87 / $18.59	Professional		$9.44	$14.87	$18.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.68 / $11.68 / $11.68	Facility		$11.68	$11.68	$11.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $51.52	Professional		$12.88	$12.88	$51.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.08 / $49.59 / $83.09	Facility		$45.08	$49.59	$83.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.59 / $28.98 / $28.98	Professional		$11.59	$28.98	$28.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.68 / $11.68 / $45.08	Facility		$11.68	$11.68	$45.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $16.64	Professional		$12.88	$12.88	$16.64
United Facility/Professional Professional Modifier Low / Median / High Price $8.10 / $25.76 / $38.86	Professional		$8.10	$25.76	$38.86