Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.11 / $36.11 / $127.68	Facility		$36.11	$36.11	$127.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.43 / $36.47 / $36.47	Professional		$22.43	$36.47	$36.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.97 / $22.97 / $22.97	Professional		$22.97	$22.97	$22.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $52.17 / $52.17 / $52.17	Facility		$52.17	$52.17	$52.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.97 / $13.97 / $19.95	Professional		$13.97	$13.97	$19.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.83 / $37.83 / $59.44	Facility		$37.83	$37.83	$59.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.83 / $52.17 / $89.17	Facility		$37.83	$52.17	$89.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.97 / $19.95 / $22.97	Professional		$13.97	$19.95	$22.97
United Facility/Professional Professional Modifier Low / Median / High Price $22.52 / $33.78 / $45.43	Professional		$22.52	$33.78	$45.43