Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $52.48 / $138.04	Facility		$14.79	$52.48	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $7.94 / $15.14	Professional		$7.94	$7.94	$15.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $8.13	Professional		$8.13	$8.13	$8.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $8.13 / $63.10	Facility		$8.13	$8.13	$63.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $26.30	Professional		$8.13	$8.13	$26.30
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $16.98 / $23.44	Facility		$10.72	$16.98	$23.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $15.85	Professional		$15.85	$15.85	$15.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $21.88	Facility		$15.14	$15.14	$21.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $8.91 / $60.26	Professional		$8.91	$8.91	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $12.30 / $33.11	Professional		$8.13	$12.30	$33.11