Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.15 / $1.41 / $35.77	Facility		$1.15	$1.41	$35.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.19 / $0.93 / $0.93	Professional		$0.19	$0.93	$0.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $0.31 / $0.31	Professional		$0.28	$0.31	$0.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $0.46 / $0.93 / $1.30	Facility		$0.46	$0.93	$1.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $0.50 / $0.92 / $1.59	Professional		$0.50	$0.92	$1.59
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.95 / $0.95 / $3,495.87	Facility		$0.95	$0.95	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.46 / $0.95 / $0.95	Professional		$0.46	$0.95	$0.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.60 / $0.93 / $1.30	Facility		$0.60	$0.93	$1.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.39 / $0.82 / $1.40	Professional		$0.39	$0.82	$1.40
United Facility/Professional Professional Modifier Low / Median / High Price $0.47 / $0.56 / $2.46	Professional		$0.47	$0.56	$2.46