Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.51 / $13.49 / $74.13	Facility		$2.51	$13.49	$74.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $3.55	Professional		$2.00	$2.00	$3.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.04 / $2.04	Professional		$2.04	$2.04	$2.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $2.04 / $2.45	Facility		$2.04	$2.04	$2.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.04 / $6.61	Professional		$2.04	$2.04	$6.61
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.47 / $3.72 / $5.37	Facility		$3.47	$3.72	$5.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $2.45 / $2.45	Professional		$2.45	$2.45	$2.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $3.89 / $5.50	Facility		$3.89	$3.89	$5.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.24 / $60.26	Professional		$2.04	$2.24	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $3.09 / $213.80	Professional		$2.04	$3.09	$213.80