Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.68 / $575.44 / $100,000.00	Facility		$4.68	$575.44	$100,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $107.15 / $165.96	Professional		$97.72	$107.15	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.24 / $0.24 / $0.24	Professional		$0.24	$0.24	$0.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $0.24 / $524.81 / $831.76	Facility		$0.24	$524.81	$831.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $0.24 / $0.78 / $165.96	Professional		$0.24	$0.78	$165.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.34 / $1.07 / $1.66	Facility		$0.34	$1.07	$1.66
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.22 / $0.22 / $0.22	Professional		$0.22	$0.22	$0.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.44 / $0.44 / $0.63	Facility		$0.44	$0.44	$0.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.22 / $0.22 / $60.26	Professional		$0.22	$0.22	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.89 / $676.08	Professional		$0.60	$0.89	$676.08