Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.48 / $82.48 / $82.48	Professional		$82.48	$82.48	$82.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.85 / $21.85 / $21.85	Facility		$21.85	$21.85	$21.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.57 / $21.85 / $22.51	Professional		$18.57	$21.85	$22.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.63 / $18.39 / $27.90	Facility		$11.63	$18.39	$27.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.51 / $56.26 / $119.08	Professional		$7.51	$56.26	$119.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.91 / $25.34 / $63.35	Professional		$2.91	$25.34	$63.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.85 / $18.63 / $27.58	Facility		$12.85	$18.63	$27.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.57 / $21.85 / $22.51	Professional		$18.57	$21.85	$22.51
United Facility/Professional Professional Modifier Low / Median / High Price $39.22 / $81.70 / $208.00	Professional		$39.22	$81.70	$208.00