Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.18 / $3.18 / $6.07	Professional		$3.18	$3.18	$6.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.71 / $1.71 / $1.71	Professional		$1.71	$1.71	$1.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.55 / $4.55 / $4.55	Facility		$4.55	$4.55	$4.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1.71 / $1.71 / $5.51	Professional		$1.71	$1.71	$5.51
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.70 / $9.27 / $14.59	Facility		$2.70	$9.27	$14.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.74 / $9.27 / $21.88	Facility		$2.74	$9.27	$21.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.71 / $1.71 / $1.85	Professional		$1.71	$1.71	$1.85
United Facility/Professional Professional Modifier Low / Median / High Price $1.71 / $2.57 / $3.45	Professional		$1.71	$2.57	$3.45