Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.85 / $31.99 / $113.09	Facility		$17.85	$31.99	$113.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $34.40 / $40.49	Professional		$17.55	$34.40	$40.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.50 / $18.50 / $18.50	Professional		$18.50	$18.50	$18.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $49.19 / $49.19 / $49.19	Facility		$49.19	$49.19	$49.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.50 / $18.50 / $59.57	Professional		$18.50	$18.50	$59.57
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.17 / $53.73 / $84.44	Facility		$27.17	$53.73	$84.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.74 / $53.73 / $126.65	Facility		$22.74	$53.73	$126.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.50 / $18.50 / $23.56	Professional		$18.50	$18.50	$23.56
United Facility/Professional Professional Modifier Low / Median / High Price $20.59 / $27.75 / $55.50	Professional		$20.59	$27.75	$55.50