Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.13 / $13.13 / $13.13	Professional		$13.13	$13.13	$13.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.28 / $8.28 / $8.28	Facility		$8.28	$8.28	$8.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.05 / $8.28 / $8.53	Professional		$7.05	$8.28	$8.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3.78 / $3.78 / $3.78	Facility		$3.78	$3.78	$3.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.10 / $13.10 / $20.69	Professional		$13.10	$13.10	$20.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.08 / $12.08 / $13.47	Facility		$12.08	$12.08	$13.47
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.91 / $13.47 / $27.78	Professional		$10.91	$13.47	$27.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.78 / $3.78 / $11.47	Facility		$3.78	$3.78	$11.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.28 / $11.11 / $17.07	Professional		$8.28	$11.11	$17.07
United Facility/Professional Professional Modifier Low / Median / High Price $6.67 / $6.88 / $13.19	Professional		$6.67	$6.88	$13.19