Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.88 / $2.88 / $97.72	Facility		$2.88	$2.88	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $3.98	Professional		$1.00	$1.00	$3.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.51 / $1.51 / $1.51	Professional		$1.51	$1.51	$1.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2.24 / $2.95 / $3.16	Facility		$2.24	$2.95	$3.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $2.95 / $5.75	Professional		$2.82	$2.95	$5.75
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.95 / $2.95 / $3,467.37	Facility		$2.95	$2.95	$3,467.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $2.95 / $2.95	Professional		$2.95	$2.95	$2.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.55 / $2.88 / $3.47	Facility		$1.55	$2.88	$3.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.51 / $2.19 / $60.26	Professional		$1.51	$2.19	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $1.51 / $1.55 / $6.17	Professional		$1.51	$1.55	$6.17