Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.18 / $33.47 / $56.88	Facility		$7.18	$33.47	$56.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.41 / $16.25 / $18.59	Professional		$3.41	$16.25	$18.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.39 / $13.39 / $13.39	Facility		$13.39	$13.39	$13.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.72 / $5.78 / $7.23	Professional		$2.72	$5.78	$7.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3.54 / $3.54 / $3.54	Facility		$3.54	$3.54	$3.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4.84 / $4.84 / $19.39	Professional		$4.84	$4.84	$19.39
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.97 / $18.67 / $23.79	Facility		$16.97	$18.67	$23.79
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $10.91 / $10.91	Professional		$4.37	$10.91	$10.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.54 / $3.54 / $16.97	Facility		$3.54	$3.54	$16.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $4.76 / $5.32	Professional		$4.37	$4.76	$5.32
United Facility/Professional Professional Modifier Low / Median / High Price $2.31 / $9.69 / $14.63	Professional		$2.31	$9.69	$14.63