Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $11.22 / $676.08	Facility		$2.00	$11.22	$676.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $4.37	Professional		$1.00	$1.00	$4.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $1.70 / $1.70	Professional		$1.70	$1.70	$1.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1.70 / $1.70 / $3.16	Facility		$1.70	$1.70	$3.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $1.70 / $5.50	Professional		$1.70	$1.70	$5.50
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.70 / $5.75 / $9.12	Facility		$1.70	$5.75	$9.12
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.78 / $1.78 / $1.78	Professional		$1.78	$1.78	$1.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.16 / $3.16 / $4.57	Facility		$3.16	$3.16	$4.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $1.86 / $60.26	Professional		$1.70	$1.86	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $2.57 / $3.47	Professional		$1.70	$2.57	$3.47