Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.94 / $116.29 / $194.75	Facility		$24.94	$116.29	$194.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.35 / $56.45 / $59.27	Professional		$13.35	$56.45	$59.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.54 / $46.54 / $46.54	Facility		$46.54	$46.54	$46.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.71 / $19.41 / $24.26	Professional		$10.71	$19.41	$24.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.16 / $13.16 / $13.16	Facility		$13.16	$13.16	$13.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.85 / $16.85 / $67.40	Professional		$16.85	$16.85	$67.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.98 / $64.87 / $93.57	Facility		$58.98	$64.87	$93.57
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.17 / $37.90 / $191.25	Professional		$15.17	$37.90	$191.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.16 / $13.16 / $58.98	Facility		$13.16	$13.16	$58.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.17 / $18.75 / $20.97	Professional		$15.17	$18.75	$20.97
United Facility/Professional Professional Modifier Low / Median / High Price $9.13 / $33.70 / $50.84	Professional		$9.13	$33.70	$50.84