Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.49 / $30.15 / $49.56	Professional		$24.49	$30.15	$49.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.41 / $22.61 / $133.72	Professional		$16.41	$22.61	$133.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.39 / $30.15 / $253.54	Facility		$19.39	$30.15	$253.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $48.53 / $63.09 / $67.70	Professional		$48.53	$63.09	$67.70
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 $17.61 / $34.47 / $253.54	Facility		$17.61	$34.47	$253.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.41 / $174.00 / $10,000.00	Professional		$16.41	$174.00	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $18.64 / $46.14 / $84.00	Professional		$18.64	$46.14	$84.00