Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.28 / $2.35 / $8.30	Facility		$1.28	$2.35	$8.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $2.50 / $2.77	Professional		$1.35	$2.50	$2.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $1.35 / $3.15	Professional		$1.35	$1.35	$3.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1.42 / $1.42 / $1.42	Facility		$1.42	$1.42	$1.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $1.35 / $3.38	Professional		$1.35	$1.35	$3.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.13 / $6.72 / $10.56	Facility		$2.13	$6.72	$10.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $5.28 / $5.76	Professional		$3.98	$5.28	$5.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.42 / $1.42 / $6.72	Facility		$1.42	$1.42	$6.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $1.46 / $5.28	Professional		$1.35	$1.46	$5.28
United Facility/Professional Professional Modifier Low / Median / High Price $1.89 / $2.02 / $4.05	Professional		$1.89	$2.02	$4.05