Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $4.27 / $4.27	Facility		$4.27	$4.27	$4.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.12 / $2.95	Professional		$1.00	$1.12	$2.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.66 / $0.66 / $0.66	Professional		$0.66	$0.66	$0.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $0.66 / $0.66 / $0.66	Facility		$0.66	$0.66	$0.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $0.66 / $0.66 / $2.14	Professional		$0.66	$0.66	$2.14
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.91 / $3.31 / $5.25	Facility		$0.91	$3.31	$5.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $0.60	Professional		$0.60	$0.60	$0.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.23 / $1.23 / $1.74	Facility		$1.23	$1.23	$1.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.62 / $0.62 / $60.26	Professional		$0.62	$0.62	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $0.72 / $1.00 / $371.54	Professional		$0.72	$1.00	$371.54