Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.64 / $105.60 / $179.41	Facility		$22.64	$105.60	$179.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.09 / $51.26 / $58.66	Professional		$14.09	$51.26	$58.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.29 / $42.29 / $42.29	Facility		$42.29	$42.29	$42.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.25 / $17.35 / $21.68	Professional		$11.25	$17.35	$21.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.34 / $13.34 / $13.34	Facility		$13.34	$13.34	$13.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.30 / $15.30 / $61.20	Professional		$15.30	$15.30	$61.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.55 / $58.91 / $98.69	Facility		$53.55	$58.91	$98.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.77 / $34.43 / $34.43	Professional		$13.77	$34.43	$34.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.34 / $13.34 / $53.55	Facility		$13.34	$13.34	$53.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.30 / $15.30 / $19.78	Professional		$15.30	$15.30	$19.78
United Facility/Professional Professional Modifier Low / Median / High Price $9.63 / $30.60 / $46.16	Professional		$9.63	$30.60	$46.16