Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $8.51 / $87.10	Facility		$3.89	$8.51	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.78 / $3.80 / $18.62	Professional		$1.78	$3.80	$18.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.33 / $0.33 / $0.33	Professional		$0.33	$0.33	$0.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $0.33 / $7.94 / $91.20	Facility		$0.33	$7.94	$91.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $0.33 / $1.07 / $16.60	Professional		$0.33	$1.07	$16.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.33 / $2.82 / $4.47	Facility		$0.33	$2.82	$4.47
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.35 / $0.35 / $0.35	Professional		$0.35	$0.35	$0.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.62 / $0.62 / $0.89	Facility		$0.62	$0.62	$0.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.34 / $0.34 / $60.26	Professional		$0.34	$0.34	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $0.33 / $0.50 / $44.67	Professional		$0.33	$0.50	$44.67