Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.13 / $9.13 / $9.13	Professional		$9.13	$9.13	$9.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.88 / $4.88 / $4.88	Professional		$4.88	$4.88	$4.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $7.57 / $9.13 / $12.78	Facility		$7.57	$9.13	$12.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $9.11 / $9.11 / $28.77	Professional		$9.11	$9.11	$28.77
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.36 / $9.36 / $3,495.87	Facility		$9.36	$9.36	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.86 / $9.36 / $9.36	Professional		$6.86	$9.36	$9.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $7.57 / $9.13 / $12.78	Facility		$7.57	$9.13	$12.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.72 / $7.97 / $11.24	Professional		$6.72	$7.97	$11.24
United Facility/Professional Professional Modifier Low / Median / High Price $4.63 / $5.00 / $23.91	Professional		$4.63	$5.00	$23.91