Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.01 / $62.01 / $62.01	Professional		$62.01	$62.01	$62.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.90 / $25.90 / $25.90	Facility		$25.90	$25.90	$25.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.02 / $25.90 / $26.68	Professional		$22.02	$25.90	$26.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.01 / $22.31 / $33.57	Facility		$16.01	$22.31	$33.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5.64 / $42.37 / $59.47	Professional		$5.64	$42.37	$59.47
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.49 / $36.00 / $48.71	Professional		$5.49	$36.00	$48.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.69 / $22.73 / $33.19	Facility		$16.69	$22.73	$33.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.02 / $25.90 / $26.68	Professional		$22.02	$25.90	$26.68
United Facility/Professional Professional Modifier Low / Median / High Price $29.23 / $56.02 / $102.29	Professional		$29.23	$56.02	$102.29