Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.80 / $27.68 / $97.86	Facility		$16.80	$27.68	$97.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.18 / $27.98 / $39.46	Professional		$15.18	$27.98	$39.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.04 / $15.04 / $15.04	Professional		$15.04	$15.04	$15.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $40.01 / $40.01 / $40.01	Facility		$40.01	$40.01	$40.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.04 / $15.04 / $48.43	Professional		$15.04	$15.04	$48.43
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.69 / $25.20 / $39.60	Facility		$22.69	$25.20	$39.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.66 / $36.00 / $59.40	Facility		$22.66	$36.00	$59.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.04 / $15.04 / $16.32	Professional		$15.04	$15.04	$16.32
United Facility/Professional Professional Modifier Low / Median / High Price $15.04 / $22.56 / $30.34	Professional		$15.04	$22.56	$30.34