Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.62 / $4.62 / $4.62	Professional		$4.62	$4.62	$4.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.49 / $2.49 / $2.49	Facility		$2.49	$2.49	$2.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.49 / $2.49 / $3.52	Professional		$2.49	$2.49	$3.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2.48 / $4.62 / $6.61	Facility		$2.48	$4.62	$6.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2.49 / $2.49 / $3.74	Professional		$2.49	$2.49	$3.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.42 / $24.00 / $52.64	Facility		$15.42	$24.00	$52.64
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.45 / $16.50 / $18.00	Professional		$12.45	$16.50	$18.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.49 / $6.47 / $33.95	Facility		$2.49	$6.47	$33.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.49 / $11.13 / $18.00	Professional		$2.49	$11.13	$18.00
United Facility/Professional Professional Modifier Low / Median / High Price $3.74 / $3.74 / $7.47	Professional		$3.74	$3.74	$7.47