Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $52.48 / $91.20	Facility		$10.96	$52.48	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $7.08 / $23.99	Professional		$5.01	$7.08	$23.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Facility		$20.42	$20.42	$20.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $8.71 / $10.96	Professional		$5.50	$8.71	$10.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $7.41 / $7.94 / $7.94	Facility		$7.41	$7.94	$7.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $7.41 / $29.51	Professional		$7.41	$7.41	$29.51
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $28.18 / $47.86	Facility		$25.70	$28.18	$47.86
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $16.60 / $16.60	Professional		$13.80	$16.60	$16.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $7.94 / $7.94	Facility		$7.94	$7.94	$7.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $7.41 / $9.55	Professional		$5.50	$7.41	$9.55
United Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $14.79 / $22.39	Professional		$4.68	$14.79	$22.39