Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.95 / $69.84 / $86.94	Professional		$68.95	$69.84	$86.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.88 / $37.88 / $37.88	Professional		$37.88	$37.88	$37.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $63.57 / $69.84 / $83.81	Facility		$63.57	$69.84	$83.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $69.70 / $73.38 / $80.23	Professional		$69.70	$73.38	$80.23
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10,000.00 / $10,000.00 / $10,000.00	Professional		$10,000.00	$10,000.00	$10,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.34 / $69.84 / $83.81	Facility		$56.34	$69.84	$83.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.88 / $85.99 / $10,000.00	Professional		$37.88	$85.99	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $34.27 / $36.61 / $190.46	Professional		$34.27	$36.61	$190.46