Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.17 / $136.87 / $515.94	Facility		$48.17	$136.87	$515.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.24 / $48.17 / $55.13	Professional		$13.24	$48.17	$55.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.74 / $39.74 / $39.74	Facility		$39.74	$39.74	$39.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.53 / $16.52 / $20.65	Professional		$10.53	$16.52	$20.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.04 / $13.04 / $13.04	Facility		$13.04	$13.04	$13.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.38 / $14.38 / $57.52	Professional		$14.38	$14.38	$57.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.40 / $65.40 / $77.40	Facility		$65.40	$65.40	$77.40
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.94 / $32.36 / $287.50	Professional		$12.94	$32.36	$287.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.04 / $13.04 / $13.04	Facility		$13.04	$13.04	$13.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.38 / $14.38 / $17.32	Professional		$14.38	$14.38	$17.32
United Facility/Professional Professional Modifier Low / Median / High Price $9.05 / $28.76 / $43.39	Professional		$9.05	$28.76	$43.39