Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.01 / $48.79 / $76.23	Facility		$27.01	$48.79	$76.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.45 / $24.92 / $44.43	Professional		$3.45	$24.92	$44.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.98 / $17.98 / $17.98	Facility		$17.98	$17.98	$17.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.42 / $6.75 / $8.44	Professional		$3.42	$6.75	$8.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.32 / $5.59 / $10.11	Facility		$4.32	$5.59	$10.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $6.50 / $6.50 / $26.00	Professional		$6.50	$6.50	$26.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.75 / $25.03 / $37.72	Facility		$22.75	$25.03	$37.72
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.85 / $14.63 / $14.63	Professional		$5.85	$14.63	$14.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.36 / $6.02 / $12.68	Facility		$4.36	$6.02	$12.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.33 / $6.50 / $12.04	Professional		$5.33	$6.50	$12.04
United Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $13.00 / $19.61	Professional		$4.09	$13.00	$19.61