Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $5.01 / $12.02	Professional		$2.00	$5.01	$12.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $4.68 / $4.68	Professional		$4.68	$4.68	$4.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $8.91 / $10.47	Facility		$6.61	$8.91	$10.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $9.33 / $17.38	Professional		$7.94	$9.33	$17.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $8.91 / $3,467.37	Facility		$8.91	$8.91	$3,467.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $8.91 / $8.91	Professional		$8.91	$8.91	$8.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $8.71 / $10.47	Facility		$5.13	$8.71	$10.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $6.76 / $60.26	Professional		$4.68	$6.76	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $4.79 / $18.62	Professional		$4.57	$4.79	$18.62