Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.23 / $7.94 / $7.94	Facility		$1.23	$7.94	$7.94
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 $1.23 / $1.23 / $1.23	Professional		$1.23	$1.23	$1.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1.23 / $1.23 / $2.29	Facility		$1.23	$1.23	$2.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1.23 / $1.23 / $3.98	Professional		$1.23	$1.23	$3.98
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.23 / $1.86 / $2.88	Facility		$1.23	$1.86	$2.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.20 / $1.20 / $1.20	Professional		$1.20	$1.20	$1.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.29 / $2.29 / $3.24	Facility		$2.29	$2.29	$3.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.23 / $1.32 / $60.26	Professional		$1.23	$1.32	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $1.23 / $1.86 / $2.45	Professional		$1.23	$1.86	$2.45