Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.30 / $24.70 / $41.97	Facility		$5.30	$24.70	$41.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.99 / $11.99 / $23.02	Professional		$11.99	$11.99	$23.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.90 / $9.90 / $9.90	Facility		$9.90	$9.90	$9.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $5.16 / $11.62	Professional		$4.13	$5.16	$11.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1.90 / $1.90 / $1.90	Facility		$1.90	$1.90	$1.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3.58 / $3.58 / $14.32	Professional		$3.58	$3.58	$14.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.53 / $13.78 / $102.43	Facility		$12.53	$13.78	$102.43
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $8.06 / $32.69	Professional		$3.22	$8.06	$32.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.90 / $1.90 / $12.53	Facility		$1.90	$1.90	$12.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.58 / $9.85 / $22.94	Professional		$3.58	$9.85	$22.94
United Facility/Professional Professional Modifier Low / Median / High Price $7.16 / $8.84 / $22.74	Professional		$7.16	$8.84	$22.74