Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $19.95	Professional		$12.02	$12.02	$19.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $8.51 / $8.51	Professional		$8.51	$8.51	$8.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Facility		$15.14	$15.14	$15.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $19.95 / $63.10	Professional		$12.02	$19.95	$63.10
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Facility		$3,467.37	$3,467.37	$3,467.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $23.44	Facility		$15.14	$15.14	$23.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $7.76 / $60.26	Professional		$7.76	$7.76	$60.26