Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.08 / $134.61 / $134.61	Facility		$38.08	$134.61	$134.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.46 / $38.46 / $38.46	Professional		$38.46	$38.46	$38.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.04 / $4.04 / $4.04	Professional		$4.04	$4.04	$4.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.49 / $38.46 / $53.84	Facility		$28.49	$38.46	$53.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.75 / $9.75 / $3,495.87	Facility		$9.75	$9.75	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.75 / $9.75 / $9.75	Professional		$9.75	$9.75	$9.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.49 / $38.46 / $53.84	Facility		$28.49	$38.46	$53.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.04 / $9.75 / $28.81	Professional		$4.04	$9.75	$28.81