Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.37 / $4.37 / $4.37	Facility		$4.37	$4.37	$4.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.15 / $2.75	Professional		$1.00	$1.15	$2.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.68 / $0.68 / $0.68	Professional		$0.68	$0.68	$0.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $0.68 / $0.68 / $1.26	Facility		$0.68	$0.68	$1.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $0.68 / $0.68 / $2.14	Professional		$0.68	$0.68	$2.14
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.68 / $3.89 / $6.03	Facility		$0.68	$3.89	$6.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.66 / $0.66 / $0.66	Professional		$0.66	$0.66	$0.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.26 / $1.26 / $1.78	Facility		$1.26	$1.26	$1.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.68 / $0.68 / $60.26	Professional		$0.68	$0.68	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $0.68 / $1.00 / $1.35	Professional		$0.68	$1.00	$1.35