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 $1.00 / $1.00 / $3.02	Professional		$1.00	$1.00	$3.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $1.74 / $1.74	Professional		$1.74	$1.74	$1.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $3.80 / $5.75	Facility		$3.80	$3.80	$5.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $2.00	Professional		$1.00	$1.00	$2.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2.29 / $2.29 / $2.29	Facility		$2.29	$2.29	$2.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.69 / $3.55 / $7.24	Facility		$2.69	$3.55	$7.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $1.74 / $79.43	Professional		$1.74	$1.74	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $1.00 / $1.00	Facility		$1.00	$1.00	$1.00