Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.77 / $36.01 / $58.63	Facility		$20.77	$36.01	$58.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $16.75 / $19.17	Professional		$4.50	$16.75	$19.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.81 / $13.81 / $13.81	Facility		$13.81	$13.81	$13.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $5.78 / $7.23	Professional		$3.63	$5.78	$7.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.44 / $4.44 / $4.44	Facility		$4.44	$4.44	$4.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $20.00	Professional		$5.00	$5.00	$20.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.50 / $19.25 / $31.52	Facility		$17.50	$19.25	$31.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $11.25 / $11.25	Professional		$4.50	$11.25	$11.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.44 / $4.44 / $17.50	Facility		$4.44	$4.44	$17.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.88 / $5.00 / $7.07	Professional		$4.88	$5.00	$7.07
United Facility/Professional Professional Modifier Low / Median / High Price $3.07 / $10.00 / $12.06	Professional		$3.07	$10.00	$12.06