Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $208.93 / $208.93	Facility		$36.31	$208.93	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $38.90	Professional		$32.36	$32.36	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $32.36	Professional		$32.36	$32.36	$32.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $38.90 / $81.28	Facility		$32.36	$38.90	$81.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $40.74 / $81.28	Professional		$32.36	$40.74	$81.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $52.48 / $81.28	Facility		$32.36	$52.48	$81.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $44.67 / $44.67	Professional		$37.15	$44.67	$44.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $42.66 / $63.10	Facility		$32.36	$42.66	$63.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $56.23	Professional		$32.36	$32.36	$56.23
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $47.86 / $81.28	Professional		$32.36	$47.86	$81.28