Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $8.91 / $79.43	Facility		$6.76	$8.91	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $2.40	Professional		$1.00	$1.00	$2.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.41 / $1.41 / $1.41	Professional		$1.41	$1.41	$1.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1.41 / $1.41 / $69.18	Facility		$1.41	$1.41	$69.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1.41 / $1.41 / $4.57	Professional		$1.41	$1.41	$4.57
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $2.40 / $3.80	Facility		$2.00	$2.40	$3.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.32 / $1.32 / $1.32	Professional		$1.32	$1.32	$1.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.63 / $2.63 / $3.72	Facility		$2.63	$2.63	$3.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.51 / $1.66 / $60.26	Professional		$1.51	$1.66	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $2.14 / $79.43	Professional		$1.58	$2.14	$79.43