Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.93 / $13.93 / $49.25	Facility		$13.93	$13.93	$49.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.84 / $7.84 / $14.60	Professional		$7.84	$7.84	$14.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.85 / $7.85 / $7.85	Professional		$7.85	$7.85	$7.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.88 / $20.88 / $20.88	Facility		$20.88	$20.88	$20.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.85 / $7.85 / $25.28	Professional		$7.85	$7.85	$25.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.28 / $18.54 / $29.13	Facility		$11.28	$18.54	$29.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.29 / $20.88 / $43.69	Facility		$10.29	$20.88	$43.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.85 / $7.85 / $8.52	Professional		$7.85	$7.85	$8.52
United Facility/Professional Professional Modifier Low / Median / High Price $8.74 / $11.78 / $23.55	Professional		$8.74	$11.78	$23.55