Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.42 / $5.42 / $5.42	Professional		$5.42	$5.42	$5.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.31 / $2.31 / $10.95	Professional		$2.31	$2.31	$10.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.99 / $5.69 / $13.96	Facility		$4.99	$5.69	$13.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5.41 / $5.41 / $17.07	Professional		$5.41	$5.41	$17.07
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.56 / $5.56 / $3,495.87	Facility		$5.56	$5.56	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.08 / $5.56 / $5.56	Professional		$4.08	$5.56	$5.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.99 / $5.42 / $13.53	Facility		$4.99	$5.42	$13.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.99 / $4.74 / $6.67	Professional		$3.99	$4.74	$6.67
United Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $2.84 / $14.22	Professional		$2.75	$2.84	$14.22