Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.51 / $81.28 / $147.91	Facility		$2.51	$81.28	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $2.00	Professional		$1.00	$1.00	$2.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.10 / $1.10 / $1.10	Professional		$1.10	$1.10	$1.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1.10 / $1.10 / $107.15	Facility		$1.10	$1.10	$107.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1.10 / $1.10 / $3.55	Professional		$1.10	$1.10	$3.55
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.70 / $2.88 / $4.57	Facility		$1.70	$2.88	$4.57
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.12 / $1.12 / $1.12	Professional		$1.12	$1.12	$1.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $2.04 / $2.88	Facility		$2.04	$2.04	$2.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.10 / $1.17 / $60.26	Professional		$1.10	$1.17	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $1.10 / $1.62 / $213.80	Professional		$1.10	$1.62	$213.80