Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $6.03 / $23.44	Professional		$3.02	$6.03	$23.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $5.50 / $5.50	Professional		$5.50	$5.50	$5.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $12.88 / $12.88	Facility		$7.76	$12.88	$12.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.88 / $24.55	Professional		$8.91	$12.88	$24.55
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $3,467.37	Facility		$12.88	$12.88	$3,467.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $12.88	Professional		$12.88	$12.88	$12.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.17 / $10.47 / $13.49	Facility		$6.17	$10.47	$13.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $7.94 / $60.26	Professional		$5.50	$7.94	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $6.61 / $21.88	Professional		$6.31	$6.61	$21.88