Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.38 / $7.41 / $7.41	Facility		$1.38	$7.41	$7.41
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 $1.12 / $1.12 / $1.12	Professional		$1.12	$1.12	$1.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1.12 / $1.12 / $1.12	Facility		$1.12	$1.12	$1.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1.12 / $1.12 / $3.63	Professional		$1.12	$1.12	$3.63
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.12 / $3.31 / $5.13	Facility		$1.12	$3.31	$5.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.17 / $1.17 / $1.17	Professional		$1.17	$1.17	$1.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.09 / $2.09 / $3.02	Facility		$2.09	$2.09	$3.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.17 / $1.23 / $60.26	Professional		$1.17	$1.23	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $1.12 / $1.70 / $2.29	Professional		$1.12	$1.70	$2.29