Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $28.18 / $169.82	Facility		$16.98	$28.18	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $12.88	Professional		$3.02	$3.02	$12.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $10.96 / $10.96	Facility		$10.96	$10.96	$10.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $4.57 / $5.62	Professional		$2.88	$4.57	$5.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3.55 / $3.55 / $17.78	Facility		$3.55	$3.55	$17.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $3.98 / $15.85	Professional		$3.98	$3.98	$15.85
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $15.14 / $25.70	Facility		$13.80	$15.14	$25.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $8.91 / $8.91	Professional		$7.24	$8.91	$8.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.55 / $3.55 / $3.55	Facility		$3.55	$3.55	$3.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $3.98 / $5.13	Professional		$2.88	$3.98	$5.13
United Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $7.94 / $12.02	Professional		$2.45	$7.94	$12.02