Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.18 / $17.39 / $84.73	Facility		$5.18	$17.39	$84.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.18 / $12.43 / $20.81	Professional		$11.18	$12.43	$20.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.19 / $11.19 / $11.19	Professional		$11.19	$11.19	$11.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $29.76 / $29.76 / $29.76	Facility		$29.76	$29.76	$29.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.19 / $11.19 / $36.03	Professional		$11.19	$11.19	$36.03
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.12 / $26.21 / $41.18	Facility		$21.12	$26.21	$41.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.73 / $29.76 / $61.78	Facility		$13.73	$29.76	$61.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.19 / $11.19 / $12.13	Professional		$11.19	$11.19	$12.13
United Facility/Professional Professional Modifier Low / Median / High Price $11.19 / $16.79 / $22.57	Professional		$11.19	$16.79	$22.57