Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.58 / $9.77 / $9.77	Facility		$1.58	$9.77	$9.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $2.57	Professional		$1.00	$1.00	$2.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.48 / $1.48 / $1.48	Professional		$1.48	$1.48	$1.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1.48 / $1.48 / $1.48	Facility		$1.48	$1.48	$1.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1.48 / $1.48 / $4.79	Professional		$1.48	$1.48	$4.79
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.48 / $2.75 / $4.37	Facility		$1.48	$2.75	$4.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.48 / $1.48 / $1.48	Professional		$1.48	$1.48	$1.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.75 / $2.75 / $3.98	Facility		$2.75	$2.75	$3.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.48 / $1.62 / $60.26	Professional		$1.48	$1.62	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $1.20 / $2.24 / $3.02	Professional		$1.20	$2.24	$3.02