Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $88.20 / $396.90	Facility		$7.59	$88.20	$396.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $0.30 / $1.25	Professional		$0.28	$0.30	$1.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.27 / $0.27 / $0.27	Professional		$0.27	$0.27	$0.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $0.73 / $0.73 / $0.73	Facility		$0.73	$0.73	$0.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $0.28 / $0.90	Professional		$0.28	$0.28	$0.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.42 / $0.98 / $1.54	Facility		$0.42	$0.98	$1.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.46 / $0.98 / $2.31	Facility		$0.46	$0.98	$2.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.27 / $0.27 / $0.30	Professional		$0.27	$0.27	$0.30
United Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $0.42 / $0.56	Professional		$0.28	$0.42	$0.56