Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.55 / $72.53 / $123.24	Facility		$15.55	$72.53	$123.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.21 / $35.21 / $67.58	Professional		$35.21	$35.21	$67.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.03 / $29.03 / $29.03	Facility		$29.03	$29.03	$29.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $11.98 / $14.97	Professional		$7.08	$11.98	$14.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5.08 / $5.08 / $5.08	Facility		$5.08	$5.08	$5.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.51 / $10.51 / $42.04	Professional		$10.51	$10.51	$42.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.79 / $40.46 / $61.86	Facility		$36.79	$40.46	$61.86
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.46 / $23.65 / $23.65	Professional		$9.46	$23.65	$23.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.08 / $5.08 / $36.79	Facility		$5.08	$5.08	$36.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.59 / $10.51 / $12.40	Professional		$9.59	$10.51	$12.40
United Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $21.02 / $23.68	Professional		$6.03	$21.02	$23.68