Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.86 / $103.84 / $251.10	Facility		$44.86	$103.84	$251.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.93 / $36.18 / $36.18	Professional		$9.93	$36.18	$36.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.84 / $29.84 / $29.84	Facility		$29.84	$29.84	$29.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.99 / $12.39 / $15.49	Professional		$7.99	$12.39	$15.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $9.80 / $9.80 / $9.80	Facility		$9.80	$9.80	$9.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.80 / $10.80 / $43.20	Professional		$10.80	$10.80	$43.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.79 / $41.58 / $69.68	Facility		$37.79	$41.58	$69.68
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.72 / $24.30 / $168.11	Professional		$9.72	$24.30	$168.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.80 / $9.80 / $37.79	Facility		$9.80	$9.80	$37.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.80 / $10.80 / $15.61	Professional		$10.80	$10.80	$15.61
United Facility/Professional Professional Modifier Low / Median / High Price $6.80 / $21.60 / $32.59	Professional		$6.80	$21.60	$32.59