Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $85.11 / $128.82	Facility		$39.81	$85.11	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $5.01 / $19.05	Professional		$3.98	$5.01	$19.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $15.85	Facility		$15.85	$15.85	$15.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $6.61 / $8.32	Professional		$4.17	$6.61	$8.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $5.25 / $61.66	Facility		$5.25	$5.25	$61.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $5.75 / $22.91	Professional		$5.75	$5.75	$22.91
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $22.39 / $37.15	Facility		$20.42	$22.39	$37.15
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $12.88 / $12.88	Professional		$10.72	$12.88	$12.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $5.25 / $5.25	Facility		$5.25	$5.25	$5.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $5.75 / $7.41	Professional		$4.17	$5.75	$7.41
United Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $11.48 / $17.38	Professional		$3.63	$11.48	$17.38