Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $26.92 / $46.77	Professional		$15.14	$26.92	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $22.91 / $63.10	Professional		$15.85	$22.91	$63.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $45.71 / $64.57	Facility		$19.95	$45.71	$64.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $74.13 / $128.82	Professional		$44.67	$74.13	$128.82
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10,000.00 / $10,000.00 / $10,000.00	Professional		$10,000.00	$10,000.00	$10,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $45.71 / $64.57	Facility		$19.95	$45.71	$64.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $27.54 / $63.10	Professional		$18.20	$27.54	$63.10
United Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $45.71 / $89.13	Professional		$18.20	$45.71	$89.13