Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.35 / $3.35 / $3.35	Professional		$3.35	$3.35	$3.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.30 / $1.30 / $2.47	Professional		$1.30	$1.30	$2.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3.35 / $3.69 / $7.47	Facility		$3.35	$3.69	$7.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2.99 / $4.28 / $4.28	Professional		$2.99	$4.28	$4.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.20 / $0.22 / $3,495.87	Facility		$0.20	$0.22	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.12 / $0.15 / $0.17	Professional		$0.12	$0.15	$0.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.28 / $3.35 / $7.47	Facility		$0.28	$3.35	$7.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.14 / $1.30 / $4.28	Professional		$0.14	$1.30	$4.28
United Facility/Professional Professional Modifier Low / Median / High Price $1.94 / $2.18 / $10.89	Professional		$1.94	$2.18	$10.89