Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $177.83 / $302.00	Facility		$36.31	$177.83	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $22.91 / $81.28	Professional		$19.05	$22.91	$81.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Facility		$67.61	$67.61	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $28.18 / $35.48	Professional		$8.71	$28.18	$35.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $24.55	Facility		$17.78	$17.78	$24.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $97.72	Professional		$24.55	$24.55	$97.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $91.20 / $97.72	Facility		$64.57	$91.20	$97.72
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $54.95 / $54.95	Professional		$24.55	$54.95	$54.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $17.78	Facility		$17.78	$17.78	$17.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $21.88 / $24.55	Professional		$8.71	$21.88	$24.55
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $48.98 / $74.13	Professional		$7.59	$48.98	$74.13