Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.80 / $12.80 / $12.80	Professional		$12.80	$12.80	$12.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.29 / $10.29 / $10.29	Facility		$10.29	$10.29	$10.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.75 / $10.29 / $10.60	Professional		$8.75	$10.29	$10.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.69 / $4.69 / $4.69	Facility		$4.69	$4.69	$4.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.78 / $13.45 / $20.18	Professional		$12.78	$13.45	$20.18
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.13 / $14.15 / $14.15	Facility		$13.13	$14.15	$14.15
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.65 / $13.13 / $27.10	Professional		$10.65	$13.13	$27.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.69 / $4.69 / $11.19	Facility		$4.69	$4.69	$11.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.42 / $11.19 / $20.09	Professional		$9.42	$11.19	$20.09
United Facility/Professional Professional Modifier Low / Median / High Price $6.71 / $6.71 / $12.87	Professional		$6.71	$6.71	$12.87