Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.69 / $9.69 / $9.69	Professional		$9.69	$9.69	$9.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.15 / $7.15 / $7.15	Professional		$7.15	$7.15	$7.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $9.69 / $10.66 / $22.41	Facility		$9.69	$10.66	$22.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $8.65 / $12.35 / $12.35	Professional		$8.65	$12.35	$12.35
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.10 / $35.10 / $3,495.87	Facility		$35.10	$35.10	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.34 / $35.10 / $50.02	Professional		$16.34	$35.10	$50.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.69 / $13.53 / $26.06	Facility		$9.69	$13.53	$26.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.35 / $32.50 / $52.00	Professional		$12.35	$32.50	$52.00
United Facility/Professional Professional Modifier Low / Median / High Price $6.28 / $6.29 / $31.47	Professional		$6.28	$6.29	$31.47