Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.45 / $62.73 / $106.58	Facility		$13.45	$62.73	$106.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.71 / $30.45 / $34.85	Professional		$7.71	$30.45	$34.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Facility		$25.12	$25.12	$25.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $10.33 / $12.91	Professional		$6.17	$10.33	$12.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $9.83 / $9.83 / $9.83	Facility		$9.83	$9.83	$9.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $9.09 / $9.09 / $36.36	Professional		$9.09	$9.09	$36.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.81 / $35.00 / $54.13	Facility		$31.81	$35.00	$54.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.18 / $20.45 / $20.45	Professional		$8.18	$20.45	$20.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.83 / $9.83 / $31.81	Facility		$9.83	$9.83	$31.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.39 / $10.85 / $12.12	Professional		$8.39	$10.85	$12.12
United Facility/Professional Professional Modifier Low / Median / High Price $5.27 / $18.18 / $20.72	Professional		$5.27	$18.18	$20.72