Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.54 / $12.54 / $12.54	Professional		$12.54	$12.54	$12.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.05 / $9.05 / $9.05	Facility		$9.05	$9.05	$9.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.69 / $9.05 / $9.32	Professional		$7.69	$9.05	$9.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.13 / $4.13 / $4.13	Facility		$4.13	$4.13	$4.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.52 / $12.52 / $34.93	Professional		$12.52	$12.52	$34.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.87 / $13.20 / $13.20	Facility		$12.87	$13.20	$13.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.43 / $12.87 / $26.55	Professional		$10.43	$12.87	$26.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.13 / $4.13 / $10.96	Facility		$4.13	$4.13	$10.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.05 / $10.96 / $16.98	Professional		$9.05	$10.96	$16.98
United Facility/Professional Professional Modifier Low / Median / High Price $6.58 / $12.60 / $23.02	Professional		$6.58	$12.60	$23.02