Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $20.14 / $71.23	Facility		$13.49	$20.14	$71.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.05 / $20.42 / $27.59	Professional		$11.05	$20.42	$27.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.98 / $10.98 / $10.98	Professional		$10.98	$10.98	$10.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $29.20 / $29.20 / $29.20	Facility		$29.20	$29.20	$29.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.98 / $10.98 / $35.36	Professional		$10.98	$10.98	$35.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.59 / $17.84 / $28.03	Facility		$16.59	$17.84	$28.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.84 / $25.48 / $42.04	Facility		$17.84	$25.48	$42.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.98 / $10.98 / $11.91	Professional		$10.98	$10.98	$11.91
United Facility/Professional Professional Modifier Low / Median / High Price $10.98 / $16.47 / $22.15	Professional		$10.98	$16.47	$22.15