Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $22.91 / $138.04	Facility		$3.63	$22.91	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.95 / $3.31	Professional		$1.00	$1.95	$3.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $1.95 / $1.95	Professional		$1.95	$1.95	$1.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1.95 / $2.19 / $3.98	Facility		$1.95	$2.19	$3.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $2.45 / $5.62	Professional		$1.95	$2.45	$5.62
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.57 / $8.71 / $13.49	Facility		$2.57	$8.71	$13.49
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $7.41 / $7.41	Professional		$6.17	$7.41	$7.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.66 / $2.57 / $4.47	Facility		$1.66	$2.57	$4.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.04 / $3.89	Professional		$2.04	$2.04	$3.89
United Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $2.88 / $5.37	Professional		$1.95	$2.88	$5.37