Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.50 / $4.50 / $4.50	Facility		$4.50	$4.50	$4.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.37 / $0.37 / $0.37	Professional		$0.37	$0.37	$0.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.20 / $0.20 / $0.20	Professional		$0.20	$0.20	$0.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $0.32 / $0.37 / $0.52	Facility		$0.32	$0.37	$0.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $0.37 / $0.39 / $1.17	Professional		$0.37	$0.39	$1.17
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.38 / $0.38 / $3,495.87	Facility		$0.38	$0.38	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $0.38 / $0.38	Professional		$0.28	$0.38	$0.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.32 / $0.37 / $0.52	Facility		$0.32	$0.37	$0.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.27 / $0.32 / $0.46	Professional		$0.27	$0.32	$0.46
United Facility/Professional Professional Modifier Low / Median / High Price $0.19 / $0.20 / $0.96	Professional		$0.19	$0.20	$0.96