Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.40 / $118.43 / $198.34	Facility		$25.40	$118.43	$198.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.78 / $57.49 / $65.79	Professional		$15.78	$57.49	$65.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.39 / $47.39 / $47.39	Facility		$47.39	$47.39	$47.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.52 / $19.82 / $24.78	Professional		$12.52	$19.82	$24.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.55 / $15.55 / $15.55	Facility		$15.55	$15.55	$15.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.16 / $17.16 / $68.64	Professional		$17.16	$17.16	$68.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.06 / $66.06 / $110.68	Facility		$60.06	$66.06	$110.68
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.44 / $38.61 / $38.61	Professional		$15.44	$38.61	$38.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.55 / $15.55 / $60.06	Facility		$15.55	$15.55	$60.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.16 / $17.16 / $22.18	Professional		$17.16	$17.16	$22.18
United Facility/Professional Professional Modifier Low / Median / High Price $10.79 / $34.32 / $51.78	Professional		$10.79	$34.32	$51.78