Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.72 / $38.72 / $38.72	Professional		$38.72	$38.72	$38.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.39 / $24.39 / $24.39	Facility		$24.39	$24.39	$24.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.39 / $24.39 / $24.39	Professional		$24.39	$24.39	$24.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.91 / $38.72 / $54.22	Facility		$16.91	$38.72	$54.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.98 / $21.98 / $29.59	Professional		$21.98	$21.98	$29.59
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.17 / $45.90 / $3,495.87	Facility		$40.17	$45.90	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.39 / $31.56 / $34.43	Professional		$24.39	$31.56	$34.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.91 / $38.72 / $57.38	Facility		$16.91	$38.72	$57.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.39 / $34.42 / $2,250,000.00	Professional		$24.39	$34.42	$2,250,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $43.04 / $43.04 / $86.07	Professional		$43.04	$43.04	$86.07