Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.09 / $90.16 / $175.42	Facility		$29.09	$90.16	$175.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.15 / $22.38 / $25.61	Professional		$6.15	$22.38	$25.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.45 / $18.45 / $18.45	Facility		$18.45	$18.45	$18.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $7.85 / $9.81	Professional		$4.90	$7.85	$9.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $6.06 / $6.06 / $6.06	Facility		$6.06	$6.06	$6.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $6.68 / $6.68 / $26.72	Professional		$6.68	$6.68	$26.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.38 / $25.72 / $43.09	Facility		$23.38	$25.72	$43.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.01 / $15.03 / $15.03	Professional		$6.01	$15.03	$15.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.06 / $6.06 / $23.38	Facility		$6.06	$6.06	$23.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.68 / $6.68 / $9.65	Professional		$6.68	$6.68	$9.65
United Facility/Professional Professional Modifier Low / Median / High Price $4.20 / $13.36 / $20.14	Professional		$4.20	$13.36	$20.14