Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.86 / $35.86 / $35.86	Professional		$35.86	$35.86	$35.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.67 / $26.67 / $26.67	Facility		$26.67	$26.67	$26.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.47 / $26.67 / $28.44	Professional		$19.47	$26.67	$28.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.34 / $12.34 / $12.34	Facility		$12.34	$12.34	$12.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $39.79 / $39.79 / $62.82	Professional		$39.79	$39.79	$62.82
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.90 / $40.90 / $40.90	Professional		$40.90	$40.90	$40.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.34 / $12.34 / $26.67	Facility		$12.34	$12.34	$26.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.47 / $28.44 / $41.27	Professional		$19.47	$28.44	$41.27
United Facility/Professional Professional Modifier Low / Median / High Price $20.23 / $40.04 / $52.23	Professional		$20.23	$40.04	$52.23