Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.80 / $92.33 / $156.87	Facility		$19.80	$92.33	$156.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.82 / $44.82 / $86.03	Professional		$44.82	$44.82	$86.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.97 / $36.97 / $36.97	Facility		$36.97	$36.97	$36.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.80 / $15.28 / $19.10	Professional		$9.80	$15.28	$19.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.13 / $12.13 / $12.13	Facility		$12.13	$12.13	$12.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.38 / $13.38 / $53.52	Professional		$13.38	$13.38	$53.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.83 / $51.51 / $86.32	Facility		$46.83	$51.51	$86.32
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.04 / $30.11 / $30.11	Professional		$12.04	$30.11	$30.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.13 / $12.13 / $46.83	Facility		$12.13	$12.13	$46.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.37 / $17.30 / $19.32	Professional		$13.37	$17.30	$19.32
United Facility/Professional Professional Modifier Low / Median / High Price $8.41 / $26.76 / $40.36	Professional		$8.41	$26.76	$40.36