Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $28.84 / $138.04	Professional		$25.70	$28.84	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $39.81 / $91.20	Professional		$27.54	$39.81	$91.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $36.31 / $85.11	Facility		$26.92	$36.31	$85.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $32.36 / $60.26	Professional		$25.70	$32.36	$60.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $100.00 / $151.36	Professional		$51.29	$100.00	$151.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $39.81 / $120.23	Facility		$26.92	$39.81	$120.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $39.81 / $91.20	Professional		$26.30	$39.81	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $69.18 / $162.18	Professional		$25.12	$69.18	$162.18