Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.73 / $3.73 / $3.73	Professional		$3.73	$3.73	$3.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $2.75 / $2.75	Professional		$2.75	$2.75	$2.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3.73 / $4.09 / $9.13	Facility		$3.73	$4.09	$9.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3.33 / $4.75 / $4.75	Professional		$3.33	$4.75	$4.75
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.50 / $13.50 / $3,495.87	Facility		$13.50	$13.50	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.29 / $13.50 / $19.23	Professional		$6.29	$13.50	$19.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.73 / $5.17 / $10.29	Facility		$3.73	$5.17	$10.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.75 / $12.50 / $20.00	Professional		$4.75	$12.50	$20.00
United Facility/Professional Professional Modifier Low / Median / High Price $2.41 / $2.42 / $12.09	Professional		$2.41	$2.42	$12.09