Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.10 / $17.10 / $34.11	Professional		$17.10	$17.10	$34.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.60 / $28.60 / $41.05	Professional		$28.60	$28.60	$41.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $48.78 / $48.78 / $48.78	Facility		$48.78	$48.78	$48.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.64 / $12.64 / $18.05	Professional		$12.64	$12.64	$18.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.50 / $62.10 / $86.01	Professional		$47.50	$62.10	$86.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $48.78 / $48.78 / $48.78	Facility		$48.78	$48.78	$48.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $55.50 / $79.98	Professional		$18.05	$55.50	$79.98
United Facility/Professional Professional Modifier Low / Median / High Price $25.47 / $30.88 / $49.26	Professional		$25.47	$30.88	$49.26