Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $7.08 / $15.85	Professional		$3.98	$7.08	$15.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $5.13 / $5.13	Professional		$5.13	$5.13	$5.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $16.98	Facility		$12.02	$12.02	$16.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.88 / $38.02	Professional		$10.96	$12.88	$38.02
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $12.30 / $3,467.37	Facility		$12.30	$12.30	$3,467.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $12.30 / $12.30	Professional		$12.30	$12.30	$12.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $12.88 / $19.95	Facility		$7.08	$12.88	$19.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $9.33 / $60.26	Professional		$5.25	$9.33	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $6.46 / $25.70	Professional		$6.17	$6.46	$25.70