Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.95 / $17.02 / $19.76	Professional		$10.95	$17.02	$19.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.57 / $14.57 / $14.57	Professional		$14.57	$14.57	$14.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.06 / $19.76 / $57.30	Facility		$12.06	$19.76	$57.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.62 / $17.62 / $25.18	Professional		$17.62	$17.62	$25.18
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.40 / $66.25 / $100.70	Professional		$42.40	$66.25	$100.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.06 / $19.76 / $57.30	Facility		$12.06	$19.76	$57.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.57 / $56.18 / $103.60	Professional		$14.57	$56.18	$103.60
United Facility/Professional Professional Modifier Low / Median / High Price $10.78 / $12.83 / $45.54	Professional		$10.78	$12.83	$45.54