Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.98 / $2.98 / $2.98	Professional		$2.98	$2.98	$2.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.00 / $34.00 / $34.00	Professional		$34.00	$34.00	$34.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2.98 / $3.28 / $6.64	Facility		$2.98	$3.28	$6.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2.66 / $3.80 / $3.80	Professional		$2.66	$3.80	$3.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.80 / $10.80 / $3,495.87	Facility		$10.80	$10.80	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.03 / $10.80 / $15.39	Professional		$5.03	$10.80	$15.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.98 / $3.28 / $8.23	Facility		$2.98	$3.28	$8.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.40 / $12.00 / $19.04	Professional		$4.40	$12.00	$19.04
United Facility/Professional Professional Modifier Low / Median / High Price $1.93 / $1.94 / $9.69	Professional		$1.93	$1.94	$9.69