Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.53 / $39.82 / $67.66	Facility		$8.53	$39.82	$67.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $19.32 / $37.10	Professional		$19.32	$19.32	$37.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.94 / $15.94 / $15.94	Facility		$15.94	$15.94	$15.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $6.61 / $8.26	Professional		$4.17	$6.61	$8.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5.23 / $5.23 / $5.23	Facility		$5.23	$5.23	$5.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5.77 / $5.77 / $23.08	Professional		$5.77	$5.77	$23.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.20 / $22.21 / $37.21	Facility		$20.20	$22.21	$37.21
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.19 / $12.98 / $12.98	Professional		$5.19	$12.98	$12.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.23 / $5.23 / $20.20	Facility		$5.23	$5.23	$20.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.77 / $5.77 / $7.46	Professional		$5.77	$5.77	$7.46
United Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $11.54 / $17.41	Professional		$3.63	$11.54	$17.41