Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $208.93 / $645.65	Facility		$60.26	$208.93	$645.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.13 / $20.89	Professional		$12.02	$14.13	$20.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $13.18	Professional		$13.18	$13.18	$13.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $154.88 / $645.65	Facility		$20.89	$154.88	$645.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.85 / $60.26	Professional		$12.02	$15.85	$60.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $34.67	Facility		$21.88	$21.88	$34.67
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $14.79	Professional		$14.79	$14.79	$14.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $30.20	Facility		$20.89	$20.89	$30.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $15.14 / $60.26	Professional		$13.18	$15.14	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $19.50 / $36.31	Professional		$12.88	$19.50	$36.31