Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $13.80	Professional		$13.80	$13.80	$13.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.92 / $5.92 / $19.00	Professional		$5.92	$5.92	$19.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.71 / $14.50 / $26.28	Facility		$12.71	$14.50	$26.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.78 / $13.78 / $43.50	Professional		$13.78	$13.78	$43.50
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.16 / $14.16 / $3,495.87	Facility		$14.16	$14.16	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.37 / $14.16 / $14.16	Professional		$10.37	$14.16	$14.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.71 / $13.80 / $25.47	Facility		$12.71	$13.80	$25.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $12.06 / $16.98	Professional		$10.16	$12.06	$16.98
United Facility/Professional Professional Modifier Low / Median / High Price $7.01 / $8.50 / $36.18	Professional		$7.01	$8.50	$36.18