Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.24 / $6.24 / $6.24	Professional		$6.24	$6.24	$6.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.35 / $3.35 / $3.35	Professional		$3.35	$3.35	$3.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5.15 / $6.24 / $8.74	Facility		$5.15	$6.24	$8.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $6.22 / $6.22 / $19.64	Professional		$6.22	$6.22	$19.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.40 / $6.40 / $3,495.87	Facility		$6.40	$6.40	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $6.40 / $6.40	Professional		$4.68	$6.40	$6.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.15 / $6.24 / $8.74	Facility		$5.15	$6.24	$8.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.59 / $5.45 / $7.68	Professional		$4.59	$5.45	$7.68
United Facility/Professional Professional Modifier Low / Median / High Price $3.27 / $3.84 / $16.35	Professional		$3.27	$3.84	$16.35