Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.35 / $3.35 / $3.35	Professional		$3.35	$3.35	$3.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.75 / $0.75 / $0.75	Professional		$0.75	$0.75	$0.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3.35 / $3.69 / $7.47	Facility		$3.35	$3.69	$7.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2.99 / $4.28 / $4.28	Professional		$2.99	$4.28	$4.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.15 / $12.15 / $3,495.87	Facility		$12.15	$12.15	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.66 / $12.15 / $17.32	Professional		$5.66	$12.15	$17.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.35 / $3.69 / $8.92	Facility		$3.35	$3.69	$8.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.28 / $11.70 / $18.00	Professional		$4.28	$11.70	$18.00
United Facility/Professional Professional Modifier Low / Median / High Price $2.17 / $2.18 / $10.89	Professional		$2.17	$2.18	$10.89