Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.08 / $23.67 / $40.22	Facility		$5.08	$23.67	$40.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.49 / $11.49 / $22.05	Professional		$11.49	$11.49	$22.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.48 / $9.48 / $9.48	Facility		$9.48	$9.48	$9.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $4.13 / $5.16	Professional		$2.54	$4.13	$5.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3.12 / $3.12 / $3.12	Facility		$3.12	$3.12	$3.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3.43 / $3.43 / $13.72	Professional		$3.43	$3.43	$13.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.01 / $13.21 / $22.18	Facility		$12.01	$13.21	$22.18
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $7.72 / $7.72	Professional		$3.09	$7.72	$7.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.12 / $3.12 / $12.01	Facility		$3.12	$3.12	$12.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.43 / $4.45 / $4.97	Professional		$3.43	$4.45	$4.97
United Facility/Professional Professional Modifier Low / Median / High Price $2.16 / $6.86 / $10.35	Professional		$2.16	$6.86	$10.35