Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.14 / $37.14 / $37.14	Professional		$37.14	$37.14	$37.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.97 / $19.97 / $19.97	Facility		$19.97	$19.97	$19.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $19.97 / $28.26	Professional		$19.97	$19.97	$28.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.85 / $37.14 / $52.00	Facility		$20.85	$37.14	$52.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $19.97 / $29.96	Professional		$19.97	$19.97	$29.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.02 / $41.39 / $3,495.87	Facility		$31.02	$41.39	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.72 / $28.46 / $31.04	Professional		$21.72	$28.46	$31.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.97 / $37.14 / $52.00	Facility		$19.97	$37.14	$52.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $24.71 / $31.04	Professional		$19.97	$24.71	$31.04
United Facility/Professional Professional Modifier Low / Median / High Price $29.96 / $29.96 / $59.91	Professional		$29.96	$29.96	$59.91