Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.40 / $5.40 / $5.40	Professional		$5.40	$5.40	$5.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.31 / $2.31 / $2.31	Professional		$2.31	$2.31	$2.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3.99 / $5.40 / $7.56	Facility		$3.99	$5.40	$7.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4.32 / $5.39 / $13.65	Professional		$4.32	$5.39	$13.65
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.54 / $5.54 / $3,495.87	Facility		$5.54	$5.54	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $5.54 / $5.54	Professional		$3.98	$5.54	$5.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.26 / $5.40 / $7.56	Facility		$4.26	$5.40	$7.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.38 / $4.57 / $5.33	Professional		$3.38	$4.57	$5.33
United Facility/Professional Professional Modifier Low / Median / High Price $2.74 / $2.96 / $14.16	Professional		$2.74	$2.96	$14.16