Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.50 / $25.50 / $25.50	Professional		$25.50	$25.50	$25.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.44 / $16.44 / $16.44	Facility		$16.44	$16.44	$16.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.97 / $16.44 / $16.93	Professional		$13.97	$16.44	$16.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $7.49 / $7.49 / $7.49	Facility		$7.49	$7.49	$7.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.45 / $25.99 / $70.98	Professional		$25.45	$25.99	$70.98
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.37 / $20.37 / $26.16	Facility		$20.37	$20.37	$26.16
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.37 / $26.16 / $53.95	Professional		$20.37	$26.16	$53.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $7.49 / $7.49 / $20.37	Facility		$7.49	$7.49	$20.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.44 / $21.29 / $33.15	Professional		$16.44	$21.29	$33.15
United Facility/Professional Professional Modifier Low / Median / High Price $13.37 / $25.62 / $46.79	Professional		$13.37	$25.62	$46.79