Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.41 / $29.64 / $60.65	Facility		$16.41	$29.64	$60.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.61 / $13.23 / $13.23	Professional		$4.61	$13.23	$13.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.92 / $10.92 / $10.92	Facility		$10.92	$10.92	$10.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.90 / $4.54 / $5.68	Professional		$2.90	$4.54	$5.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3.57 / $3.57 / $3.57	Facility		$3.57	$3.57	$3.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3.95 / $11.85 / $15.80	Professional		$3.95	$11.85	$15.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.83 / $15.21 / $18.57	Facility		$13.83	$15.21	$18.57
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.56 / $8.89 / $8.89	Professional		$3.56	$8.89	$8.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.57 / $3.57 / $13.83	Facility		$3.57	$3.57	$13.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $3.95 / $4.16	Professional		$3.72	$3.95	$4.16
United Facility/Professional Professional Modifier Low / Median / High Price $2.48 / $7.90 / $9.76	Professional		$2.48	$7.90	$9.76