Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $10.00 / $12.88	Professional		$8.32	$10.00	$12.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Facility		$28.84	$28.84	$28.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $30.90	Professional		$20.89	$20.89	$30.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $6.61 / $19.05	Facility		$6.61	$6.61	$19.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $12.88 / $60.26	Professional		$7.08	$12.88	$60.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $53.70 / $53.70	Facility		$18.20	$53.70	$53.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $53.70 / $74.13	Professional		$28.18	$53.70	$74.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $6.61 / $23.99	Facility		$6.61	$6.61	$23.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $28.84 / $60.26	Professional		$13.18	$28.84	$60.26
United Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $8.71 / $35.48	Facility		$8.71	$8.71	$35.48
United Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $18.62 / $48.98	Professional		$9.55	$18.62	$48.98