Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.33 / $2.33 / $7.04	Professional		$2.33	$2.33	$7.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $1.11	Professional		$1.00	$1.00	$1.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2.15 / $2.33 / $3.26	Facility		$2.15	$2.33	$3.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2.33 / $2.33 / $7.35	Professional		$2.33	$2.33	$7.35
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.39 / $2.39 / $3,495.87	Facility		$2.39	$2.39	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.75 / $2.39 / $2.39	Professional		$1.75	$2.39	$2.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.15 / $2.33 / $3.26	Facility		$2.15	$2.33	$3.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.11 / $2.04 / $2.87	Professional		$1.11	$2.04	$2.87
United Facility/Professional Professional Modifier Low / Median / High Price $1.18 / $1.28 / $6.12	Professional		$1.18	$1.28	$6.12