Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.27 / $83.00 / $346.92	Facility		$13.27	$83.00	$346.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.68 / $7.12 / $20.38	Professional		$3.68	$7.12	$20.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.76 / $8.76 / $8.76	Facility		$8.76	$8.76	$8.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.36 / $3.72 / $4.65	Professional		$2.36	$3.72	$4.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2.76 / $2.76 / $106.90	Facility		$2.76	$2.76	$106.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3.17 / $3.17 / $12.68	Professional		$3.17	$3.17	$12.68
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.09 / $12.20 / $20.43	Facility		$11.09	$12.20	$20.43
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.85 / $7.13 / $55.00	Professional		$2.85	$7.13	$55.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.76 / $2.76 / $11.09	Facility		$2.76	$2.76	$11.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.17 / $3.17 / $4.57	Professional		$3.17	$3.17	$4.57
United Facility/Professional Professional Modifier Low / Median / High Price $1.99 / $6.34 / $9.56	Professional		$1.99	$6.34	$9.56