Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $144.54 / $245.47	Facility		$30.20	$144.54	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.05 / $67.61	Professional		$15.85	$19.05	$67.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Facility		$56.23	$56.23	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $22.91 / $28.84	Professional		$14.79	$22.91	$28.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $21.88 / $21.88	Facility		$20.42	$21.88	$21.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $81.28	Professional		$20.42	$20.42	$81.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $77.62 / $128.82	Facility		$70.79	$77.62	$128.82
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $45.71 / $45.71	Professional		$37.15	$45.71	$45.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Facility		$21.88	$21.88	$21.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $20.42 / $26.30	Professional		$14.79	$20.42	$26.30
United Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $40.74 / $60.26	Professional		$12.59	$40.74	$60.26