Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.22 / $24.48 / $32.31	Professional		$19.22	$24.48	$32.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.49 / $10.49 / $30.06	Professional		$10.49	$10.49	$30.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.54 / $25.72 / $75.55	Facility		$22.54	$25.72	$75.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $24.43 / $24.43 / $77.16	Professional		$24.43	$24.43	$77.16
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $3,495.87	Facility		$25.12	$25.12	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.39 / $25.12 / $25.12	Professional		$18.39	$25.12	$25.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.54 / $24.48 / $73.22	Facility		$22.54	$24.48	$73.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.02 / $21.39 / $30.14	Professional		$18.02	$21.39	$30.14
United Facility/Professional Professional Modifier Low / Median / High Price $12.43 / $14.14 / $64.17	Professional		$12.43	$14.14	$64.17