Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.87 / $10.87 / $10.87	Professional		$10.87	$10.87	$10.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.86 / $6.86 / $6.86	Facility		$6.86	$6.86	$6.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.83 / $6.86 / $7.07	Professional		$5.83	$6.86	$7.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3.13 / $3.13 / $3.13	Facility		$3.13	$3.13	$3.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.85 / $10.85 / $17.13	Professional		$10.85	$10.85	$17.13
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $10.00 / $11.15	Facility		$10.00	$10.00	$11.15
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.03 / $11.15 / $23.00	Professional		$9.03	$11.15	$23.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.13 / $3.13 / $9.49	Facility		$3.13	$3.13	$9.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.86 / $9.19 / $14.13	Professional		$6.86	$9.19	$14.13
United Facility/Professional Professional Modifier Low / Median / High Price $5.52 / $5.69 / $10.91	Professional		$5.52	$5.69	$10.91