Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $12.30 / $12.30	Facility		$2.00	$12.30	$12.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $2.24	Professional		$1.00	$1.00	$2.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.86 / $1.86 / $1.86	Professional		$1.86	$1.86	$1.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1.86 / $1.86 / $3.39	Facility		$1.86	$1.86	$3.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1.86 / $2.24 / $4.68	Professional		$1.86	$2.24	$4.68
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.75 / $2.95 / $4.57	Facility		$2.75	$2.95	$4.57
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.09 / $2.51 / $2.51	Professional		$2.09	$2.51	$2.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.86 / $2.34 / $3.47	Facility		$1.86	$2.34	$3.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.86 / $1.86 / $3.16	Professional		$1.86	$1.86	$3.16
United Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $2.82 / $4.68	Professional		$1.82	$2.82	$4.68