Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $12.02 / $12.02	Facility		$2.04	$12.02	$12.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $3.16	Professional		$1.00	$1.00	$3.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $1.82 / $1.82	Professional		$1.82	$1.82	$1.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1.82 / $1.82 / $2.19	Facility		$1.82	$1.82	$2.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $1.82 / $5.89	Professional		$1.82	$1.82	$5.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.82 / $2.95 / $4.57	Facility		$1.82	$2.95	$4.57
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.86 / $1.86 / $1.86	Professional		$1.86	$1.86	$1.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.39 / $3.39 / $4.90	Facility		$3.39	$3.39	$4.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $2.00 / $60.26	Professional		$1.82	$2.00	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $2.75 / $3.72	Professional		$1.26	$2.75	$3.72