Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.84 / $22.64 / $38.47	Facility		$4.84	$22.64	$38.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.99 / $10.99 / $21.09	Professional		$10.99	$10.99	$21.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.05 / $9.05 / $9.05	Facility		$9.05	$9.05	$9.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $3.72 / $4.65	Professional		$1.82	$3.72	$4.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2.39 / $2.39 / $2.39	Facility		$2.39	$2.39	$2.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3.28 / $3.28 / $13.12	Professional		$3.28	$3.28	$13.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $12.63 / $16.21	Facility		$11.48	$12.63	$16.21
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $7.38 / $7.38	Professional		$2.95	$7.38	$7.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.39 / $2.39 / $11.48	Facility		$2.39	$2.39	$11.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $3.25 / $3.28	Professional		$2.95	$3.25	$3.28
United Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $6.56 / $9.90	Professional		$1.58	$6.56	$9.90