Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.73 / $31.73 / $65.73	Facility		$31.73	$31.73	$65.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.24 / $19.00 / $24.60	Professional		$4.24	$19.00	$24.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.71 / $12.00 / $13.39	Professional		$10.71	$12.00	$13.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $19.00 / $25.21	Facility		$5.25	$19.00	$25.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.50 / $12.50 / $12.50	Professional		$12.50	$12.50	$12.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.47 / $41.45 / $55.70	Professional		$39.47	$41.45	$55.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.14 / $19.19 / $26.60	Facility		$16.14	$19.19	$26.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $40.04 / $40.04	Professional		$12.00	$40.04	$40.04
United Facility/Professional Professional Modifier Low / Median / High Price $12.56 / $13.96 / $27.92	Professional		$12.56	$13.96	$27.92