Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.27 / $9.27 / $9.27	Professional		$9.27	$9.27	$9.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.11 / $5.11 / $5.11	Professional		$5.11	$5.11	$5.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $7.68 / $9.27 / $12.99	Facility		$7.68	$9.27	$12.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $9.19 / $9.26 / $29.04	Professional		$9.19	$9.26	$29.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.52 / $9.52 / $3,495.87	Facility		$9.52	$9.52	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.98 / $9.52 / $9.52	Professional		$6.98	$9.52	$9.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $7.68 / $9.27 / $12.99	Facility		$7.68	$9.27	$12.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.83 / $8.11 / $11.42	Professional		$6.83	$8.11	$11.42
United Facility/Professional Professional Modifier Low / Median / High Price $4.72 / $5.09 / $24.33	Professional		$4.72	$5.09	$24.33