Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $7.08 / $15.14	Professional		$3.02	$7.08	$15.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $5.62 / $5.62	Professional		$5.62	$5.62	$5.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $10.96 / $11.75	Facility		$8.32	$10.96	$11.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.96 / $20.89	Professional		$10.47	$10.96	$20.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $10.96 / $3,467.37	Facility		$10.96	$10.96	$3,467.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $10.96 / $10.96	Professional		$10.96	$10.96	$10.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.17 / $10.72 / $12.59	Facility		$6.17	$10.72	$12.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $8.13 / $60.26	Professional		$5.62	$8.13	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $5.75 / $22.91	Professional		$5.62	$5.75	$22.91