Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.95 / $28.18	Professional		$15.14	$19.95	$28.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Facility		$16.98	$16.98	$16.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $12.30 / $18.20	Professional		$12.30	$12.30	$18.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $25.70 / $31.62	Facility		$8.13	$25.70	$31.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $32.36 / $102.33	Professional		$31.62	$32.36	$102.33
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $31.62 / $33.11	Facility		$29.51	$31.62	$33.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $31.62 / $32.36	Professional		$25.70	$31.62	$32.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $8.13 / $31.62	Facility		$8.13	$8.13	$31.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $25.12 / $60.26	Professional		$12.30	$25.12	$60.26
United Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $16.60 / $19.05	Facility		$16.60	$16.60	$19.05
United Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $16.22 / $60.26	Professional		$15.49	$16.22	$60.26