Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $57.54 / $67.61	Facility		$20.89	$57.54	$67.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.98 / $15.85	Professional		$3.02	$3.98	$15.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $13.49 / $13.49	Facility		$13.49	$13.49	$13.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $5.75 / $7.24	Professional		$3.63	$5.75	$7.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $4.27 / $4.90	Facility		$4.27	$4.27	$4.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $4.90 / $19.50	Professional		$4.90	$4.90	$19.50
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $18.62 / $31.62	Facility		$16.98	$18.62	$31.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.96 / $10.96	Professional		$8.91	$10.96	$10.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $4.27 / $4.27	Facility		$4.27	$4.27	$4.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $4.90 / $6.31	Professional		$3.63	$4.90	$6.31
United Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $9.77 / $14.79	Professional		$3.09	$9.77	$14.79