Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.92 / $116.21 / $197.44	Facility		$24.92	$116.21	$197.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.41 / $56.41 / $108.28	Professional		$56.41	$56.41	$108.28
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 $12.34 / $19.41 / $24.26	Professional		$12.34	$19.41	$24.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $8.93 / $8.93 / $8.93	Facility		$8.93	$8.93	$8.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.84 / $16.84 / $67.36	Professional		$16.84	$16.84	$67.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.94 / $64.83 / $108.59	Facility		$58.94	$64.83	$108.59
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.16 / $37.89 / $37.89	Professional		$15.16	$37.89	$37.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.93 / $8.93 / $58.94	Facility		$8.93	$8.93	$58.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.84 / $16.84 / $21.76	Professional		$16.84	$16.84	$21.76
United Facility/Professional Professional Modifier Low / Median / High Price $10.58 / $33.68 / $50.81	Professional		$10.58	$33.68	$50.81