Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.49 / $2.49 / $2.49	Professional		$2.49	$2.49	$2.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.33 / $1.33 / $1.33	Professional		$1.33	$1.33	$1.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2.06 / $2.49 / $3.49	Facility		$2.06	$2.49	$3.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2.48 / $2.48 / $7.83	Professional		$2.48	$2.48	$7.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.54 / $2.54 / $3,495.87	Facility		$2.54	$2.54	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.88 / $2.54 / $2.54	Professional		$1.88	$2.54	$2.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.06 / $2.49 / $3.49	Facility		$2.06	$2.49	$3.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.83 / $2.18 / $3.06	Professional		$1.83	$2.18	$3.06
United Facility/Professional Professional Modifier Low / Median / High Price $1.27 / $1.31 / $6.54	Professional		$1.27	$1.31	$6.54