Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.63 / $2.63 / $2.63	Facility		$2.63	$2.63	$2.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.79 / $2.33 / $2.33	Professional		$0.79	$2.33	$2.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.25 / $1.25 / $1.25	Professional		$1.25	$1.25	$1.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1.93 / $2.33 / $3.26	Facility		$1.93	$2.33	$3.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2.33 / $2.33 / $7.35	Professional		$2.33	$2.33	$7.35
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.39 / $2.39 / $3,495.87	Facility		$2.39	$2.39	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.94 / $2.39 / $2.39	Professional		$1.94	$2.39	$2.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.93 / $2.33 / $3.26	Facility		$1.93	$2.33	$3.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.71 / $2.04 / $2.87	Professional		$1.71	$2.04	$2.87
United Facility/Professional Professional Modifier Low / Median / High Price $1.18 / $1.22 / $6.12	Professional		$1.18	$1.22	$6.12