Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.28 / $18.23 / $169.62	Professional		$13.28	$18.23	$169.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $27.81 / $50.16	Professional		$19.00	$27.81	$50.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.28 / $137.74 / $195.06	Facility		$13.28	$137.74	$195.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.68 / $20.68	Professional		$20.00	$20.68	$20.68
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $15.75 / $27.85	Professional		$15.00	$15.75	$27.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.22 / $169.62 / $237.47	Facility		$14.22	$169.62	$237.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.75 / $20.02 / $27.81	Professional		$15.75	$20.02	$27.81
United Facility/Professional Professional Modifier Low / Median / High Price $23.82 / $28.70 / $500.65	Professional		$23.82	$28.70	$500.65