Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.84 / $4.84 / $4.84	Professional		$4.84	$4.84	$4.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.18 / $2.18 / $2.18	Professional		$2.18	$2.18	$2.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3.37 / $4.84 / $6.78	Facility		$3.37	$4.84	$6.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3.64 / $4.84 / $11.49	Professional		$3.64	$4.84	$11.49
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.97 / $4.97 / $3,495.87	Facility		$4.97	$4.97	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.56 / $4.97 / $4.97	Professional		$3.56	$4.97	$4.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.82 / $4.84 / $6.78	Facility		$3.82	$4.84	$6.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.16 / $4.04 / $4.99	Professional		$3.16	$4.04	$4.99
United Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $2.98 / $12.66	Professional		$2.45	$2.98	$12.66