Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $28.84 / $28.84	Professional		$22.91	$28.84	$28.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $18.62 / $18.62	Facility		$18.62	$18.62	$18.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $18.62 / $19.50	Professional		$15.85	$18.62	$19.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2.75 / $20.89 / $27.54	Facility		$2.75	$20.89	$27.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $93.33	Professional		$27.54	$27.54	$93.33
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.51 / $2.82 / $28.18	Facility		$2.51	$2.82	$28.18
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $5.62 / $28.18	Professional		$2.45	$5.62	$28.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $16.60 / $23.44	Facility		$11.75	$16.60	$23.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $20.89 / $60.26	Professional		$15.85	$20.89	$60.26
United Facility/Professional Facility Modifier Low / Median / High Price $1.20 / $9.12 / $21.88	Facility		$1.20	$9.12	$21.88
United Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $26.92 / $50.12	Professional		$14.13	$26.92	$50.12