Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.62 / $100.82 / $171.29	Facility		$21.62	$100.82	$171.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.07 / $48.94 / $56.01	Professional		$10.07	$48.94	$56.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.38 / $40.38 / $40.38	Facility		$40.38	$40.38	$40.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.99 / $16.93 / $21.17	Professional		$7.99	$16.93	$21.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.64 / $10.64 / $10.64	Facility		$10.64	$10.64	$10.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.61 / $14.61 / $58.44	Professional		$14.61	$14.61	$58.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.14 / $56.25 / $70.63	Facility		$51.14	$56.25	$70.63
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.15 / $32.86 / $32.86	Professional		$13.15	$32.86	$32.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.64 / $10.64 / $51.14	Facility		$10.64	$10.64	$51.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.15 / $14.16 / $15.81	Professional		$13.15	$14.16	$15.81
United Facility/Professional Professional Modifier Low / Median / High Price $6.88 / $29.22 / $44.08	Professional		$6.88	$29.22	$44.08