Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.33 / $48.16 / $81.83	Facility		$10.33	$48.16	$81.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.41 / $23.38 / $26.76	Professional		$6.41	$23.38	$26.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.30 / $19.30 / $19.30	Facility		$19.30	$19.30	$19.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.08 / $8.26 / $10.33	Professional		$5.08	$8.26	$10.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $6.34 / $6.34 / $6.34	Facility		$6.34	$6.34	$6.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $6.98 / $6.98 / $27.92	Professional		$6.98	$6.98	$27.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.43 / $26.87 / $44.37	Facility		$24.43	$26.87	$44.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.28 / $15.71 / $15.71	Professional		$6.28	$15.71	$15.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.34 / $6.34 / $24.43	Facility		$6.34	$6.34	$24.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.98 / $9.02 / $10.09	Professional		$6.98	$9.02	$10.09
United Facility/Professional Professional Modifier Low / Median / High Price $4.38 / $13.96 / $17.23	Professional		$4.38	$13.96	$17.23