Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $32.36 / $33.11	Professional		$18.20	$32.36	$33.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $18.62	Professional		$18.62	$18.62	$18.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $39.81 / $39.81	Facility		$23.99	$39.81	$39.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $42.66 / $134.90	Professional		$32.36	$42.66	$134.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Facility		$42.66	$42.66	$42.66
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $33.88	Facility		$23.99	$23.99	$33.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $26.30 / $60.26	Professional		$18.62	$26.30	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $66.07 / $102.33	Professional		$53.70	$66.07	$102.33