Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.10 / $26.96 / $55.01	Professional		$20.10	$26.96	$55.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.72 / $50.43 / $116.68	Professional		$25.72	$50.43	$116.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.82 / $51.28 / $77.01	Facility		$28.82	$51.28	$77.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $59.85 / $77.09 / $136.15	Professional		$59.85	$77.09	$136.15
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.30 / $70.30 / $3,495.87	Facility		$70.30	$70.30	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.91 / $73.80 / $98.75	Professional		$52.91	$73.80	$98.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.72 / $50.53 / $77.01	Facility		$25.72	$50.53	$77.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.82 / $67.33 / $100.10	Professional		$36.82	$67.33	$100.10
United Facility/Professional Professional Modifier Low / Median / High Price $66.36 / $78.30 / $88.09	Professional		$66.36	$78.30	$88.09