Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.08 / $4.08 / $4.08	Professional		$4.08	$4.08	$4.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.17 / $2.17 / $2.17	Professional		$2.17	$2.17	$2.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3.33 / $4.08 / $5.71	Facility		$3.33	$4.08	$5.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4.04 / $4.08 / $12.75	Professional		$4.04	$4.08	$12.75
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.19 / $4.19 / $3,495.87	Facility		$4.19	$4.19	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.06 / $4.19 / $4.19	Professional		$3.06	$4.19	$4.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.37 / $4.08 / $5.71	Facility		$3.37	$4.08	$5.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $3.56 / $4.98	Professional		$3.00	$3.56	$4.98
United Facility/Professional Professional Modifier Low / Median / High Price $2.06 / $2.42 / $10.68	Professional		$2.06	$2.42	$10.68