Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.33 / $160.33 / $160.33	Professional		$160.33	$160.33	$160.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.20 / $25.20 / $25.20	Facility		$25.20	$25.20	$25.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.42 / $25.20 / $25.96	Professional		$21.42	$25.20	$25.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.23 / $30.47 / $41.46	Facility		$19.23	$30.47	$41.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.59 / $55.10 / $240.08	Professional		$14.59	$55.10	$240.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.53 / $20.11 / $189.48	Professional		$10.53	$20.11	$189.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.58 / $28.63 / $41.29	Facility		$21.58	$28.63	$41.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.42 / $25.20 / $25.96	Professional		$21.42	$25.20	$25.96
United Facility/Professional Professional Modifier Low / Median / High Price $76.25 / $146.15 / $419.40	Professional		$76.25	$146.15	$419.40