Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.53 / $4.53 / $4.53	Professional		$4.53	$4.53	$4.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.94 / $1.94 / $1.94	Professional		$1.94	$1.94	$1.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3.73 / $4.53 / $6.34	Facility		$3.73	$4.53	$6.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4.51 / $4.51 / $14.28	Professional		$4.51	$4.51	$14.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.65 / $4.65 / $3,495.87	Facility		$4.65	$4.65	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.40 / $4.65 / $4.65	Professional		$3.40	$4.65	$4.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.73 / $4.53 / $6.34	Facility		$3.73	$4.53	$6.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.34 / $3.96 / $5.58	Professional		$3.34	$3.96	$5.58
United Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $2.49 / $11.88	Professional		$2.29	$2.49	$11.88