Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.40 / $151.13 / $256.80	Facility		$32.40	$151.13	$256.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.37 / $73.37 / $140.82	Professional		$73.37	$73.37	$140.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.52 / $60.52 / $60.52	Facility		$60.52	$60.52	$60.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.89 / $25.19 / $31.49	Professional		$12.89	$25.19	$31.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.95 / $15.95 / $15.95	Facility		$15.95	$15.95	$15.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.90 / $21.90 / $87.60	Professional		$21.90	$21.90	$87.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.65 / $84.32 / $113.81	Facility		$76.65	$84.32	$113.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.71 / $49.28 / $49.28	Professional		$19.71	$49.28	$49.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.95 / $15.95 / $76.65	Facility		$15.95	$15.95	$76.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.71 / $22.81 / $25.49	Professional		$19.71	$22.81	$25.49
United Facility/Professional Professional Modifier Low / Median / High Price $11.09 / $43.80 / $66.08	Professional		$11.09	$43.80	$66.08