Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.62 / $10.00 / $10.00	Facility		$1.62	$10.00	$10.00
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 $1.51 / $1.51 / $1.51	Professional		$1.51	$1.51	$1.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1.51 / $1.51 / $1.82	Facility		$1.51	$1.51	$1.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1.51 / $1.51 / $4.90	Professional		$1.51	$1.51	$4.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.51 / $2.51 / $3.98	Facility		$1.51	$2.51	$3.98
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.51 / $1.51 / $1.51	Professional		$1.51	$1.51	$1.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.82 / $2.82 / $4.07	Facility		$2.82	$2.82	$4.07
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 $1.10 / $2.29 / $3.09	Professional		$1.10	$2.29	$3.09