Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.58 / $8.91 / $8.91	Facility		$1.58	$8.91	$8.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $2.34	Professional		$1.00	$1.00	$2.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.38 / $1.38 / $1.38	Professional		$1.38	$1.38	$1.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1.38 / $1.38 / $1.38	Facility		$1.38	$1.38	$1.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1.38 / $1.38 / $4.37	Professional		$1.38	$1.38	$4.37
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.38 / $2.95 / $4.57	Facility		$1.38	$2.95	$4.57
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $1.35 / $1.35	Professional		$1.35	$1.35	$1.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.51 / $2.51 / $3.63	Facility		$2.51	$2.51	$3.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.38 / $1.48 / $60.26	Professional		$1.38	$1.48	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $1.29 / $2.04 / $2.75	Professional		$1.29	$2.04	$2.75