Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $123.03 / $239.88	Facility		$13.80	$123.03	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $23.99	Professional		$12.88	$12.88	$23.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $12.88	Professional		$12.88	$12.88	$12.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $34.67	Facility		$12.88	$12.88	$34.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $41.69	Professional		$12.88	$12.88	$41.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $48.98 / $77.62	Facility		$25.70	$48.98	$77.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Professional		$16.98	$16.98	$16.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $34.67	Facility		$23.99	$23.99	$34.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $15.14 / $60.26	Professional		$14.13	$15.14	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $19.50 / $85.11	Professional		$12.88	$19.50	$85.11