Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.75 / $25.92 / $91.63	Facility		$14.75	$25.92	$91.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.15 / $14.31 / $26.62	Professional		$13.15	$14.31	$26.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.31 / $14.31 / $14.31	Professional		$14.31	$14.31	$14.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $26.62 / $38.07	Facility		$14.45	$26.62	$38.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.31 / $14.31 / $28.62	Professional		$14.31	$14.31	$28.62
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.09 / $22.65 / $35.60	Facility		$21.09	$22.65	$35.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.18 / $19.42 / $19.42	Professional		$16.18	$19.42	$19.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.31 / $26.62 / $38.07	Facility		$14.31	$26.62	$38.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.31 / $16.45 / $19.13	Professional		$14.31	$16.45	$19.13
United Facility/Professional Professional Modifier Low / Median / High Price $15.17 / $21.47 / $40.78	Professional		$15.17	$21.47	$40.78