Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $95.50 / $165.96	Facility		$19.95	$95.50	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.02 / $43.65	Professional		$10.00	$12.02	$43.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Facility		$37.15	$37.15	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $15.14 / $19.05	Professional		$8.71	$15.14	$19.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $14.45 / $14.45	Facility		$13.49	$14.45	$14.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $53.70	Professional		$13.49	$13.49	$53.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $51.29 / $77.62	Facility		$46.77	$51.29	$77.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $30.20 / $30.20	Professional		$22.39	$30.20	$30.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.45 / $14.45	Facility		$14.45	$14.45	$14.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $12.02 / $15.49	Professional		$8.71	$12.02	$15.49
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $26.92 / $40.74	Professional		$7.59	$26.92	$40.74