Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $16.60 / $33.88	Professional		$15.85	$16.60	$33.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $40.74	Professional		$28.84	$28.84	$40.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $48.98	Facility		$33.88	$33.88	$48.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $18.20 / $60.26	Professional		$12.59	$18.20	$60.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $61.66 / $85.11	Professional		$47.86	$61.66	$85.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $48.98	Facility		$33.88	$33.88	$48.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $28.84 / $60.26	Professional		$12.59	$28.84	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $33.11 / $56.23	Professional		$25.70	$33.11	$56.23