Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $67.61 / $162.18	Facility		$19.05	$67.61	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $1.45	Professional		$1.00	$1.00	$1.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.87 / $0.87 / $0.87	Professional		$0.87	$0.87	$0.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $63.10 / $162.18	Facility		$4.79	$63.10	$162.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $60.26 / $61.66	Professional		$1.00	$60.26	$61.66
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.35 / $1.38 / $2.19	Facility		$1.35	$1.38	$2.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.93 / $0.93 / $0.93	Professional		$0.93	$0.93	$0.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.38 / $1.38 / $1.95	Facility		$1.38	$1.38	$1.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $60.26	Professional		$0.60	$0.60	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $1.20 / $134.90	Professional		$0.60	$1.20	$134.90