Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.00 / $96.04 / $975.19	Facility		$24.00	$96.04	$975.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.66 / $4.45 / $41.36	Professional		$2.66	$4.45	$41.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Facility		$25.12	$25.12	$25.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.50 / $1.88 / $3.23	Professional		$1.50	$1.88	$3.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2.25 / $5.92 / $44.10	Facility		$2.25	$5.92	$44.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2.90 / $27.27 / $36.36	Professional		$2.90	$27.27	$36.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.50 / $14.22 / $36.36	Facility		$10.50	$14.22	$36.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $12.00 / $19.87	Professional		$3.00	$12.00	$19.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.25 / $5.66 / $12.00	Facility		$2.25	$5.66	$12.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $3.00 / $12.00	Professional		$3.00	$3.00	$12.00
United Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $6.00 / $9.05	Professional		$3.00	$6.00	$9.05