Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $2.00 / $2.00	Facility		$2.00	$2.00	$2.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.60 / $1.60 / $1.60	Professional		$1.60	$1.60	$1.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.85 / $0.85 / $0.85	Professional		$0.85	$0.85	$0.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1.33 / $1.60 / $2.24	Facility		$1.33	$1.60	$2.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1.59 / $1.60 / $5.01	Professional		$1.59	$1.60	$5.01
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.64 / $1.64 / $3,495.87	Facility		$1.64	$1.64	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.22 / $1.64 / $1.64	Professional		$1.22	$1.64	$1.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.34 / $1.60 / $2.24	Facility		$1.34	$1.60	$2.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.18 / $1.40 / $1.96	Professional		$1.18	$1.40	$1.96
United Facility/Professional Professional Modifier Low / Median / High Price $0.84 / $1.61 / $4.20	Professional		$0.84	$1.61	$4.20