Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.73 / $74.73 / $74.73	Facility		$74.73	$74.73	$74.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.40 / $9.76 / $21.35	Professional		$7.40	$9.76	$21.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.80 / $11.95 / $31.55	Professional		$8.80	$11.95	$31.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $8.99 / $21.35 / $32.04	Facility		$8.99	$21.35	$32.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.45 / $30.20 / $67.20	Professional		$23.45	$30.20	$67.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.60 / $36.25 / $49.50	Professional		$17.60	$36.25	$49.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.99 / $21.35 / $32.04	Facility		$8.99	$21.35	$32.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.45 / $24.20 / $44.00	Professional		$10.45	$24.20	$44.00
United Facility/Professional Professional Modifier Low / Median / High Price $9.49 / $23.00 / $61.29	Professional		$9.49	$23.00	$61.29