Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.64 / $26.64 / $89.54	Facility		$26.64	$26.64	$89.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.84 / $27.56 / $65.37	Professional		$15.84	$27.56	$65.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.79 / $81.06 / $117.60	Professional		$32.79	$81.06	$117.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $31.44 / $55.56 / $65.37	Facility		$31.44	$55.56	$65.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $47.65 / $90.21 / $112.75	Professional		$47.65	$90.21	$112.75
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.10 / $56.10 / $3,495.87	Facility		$56.10	$56.10	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.50 / $68.31 / $123.75	Professional		$46.50	$68.31	$123.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.44 / $54.45 / $65.37	Facility		$31.44	$54.45	$65.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.88 / $70.00 / $117.60	Professional		$36.88	$70.00	$117.60
United Facility/Professional Professional Modifier Low / Median / High Price $86.79 / $91.64 / $128.30	Professional		$86.79	$91.64	$128.30