Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.66 / $63.70 / $94.17	Facility		$8.66	$63.70	$94.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.75 / $1.22 / $1.22	Professional		$0.75	$1.22	$1.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.77 / $0.77 / $0.77	Professional		$0.77	$0.77	$0.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1.74 / $5.14 / $19.00	Facility		$1.74	$5.14	$19.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $0.33 / $0.33 / $0.48	Professional		$0.33	$0.33	$0.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.34 / $1.34 / $2.11	Facility		$1.34	$1.34	$2.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.34 / $1.74 / $3.17	Facility		$1.34	$1.74	$3.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.33 / $0.48 / $0.77	Professional		$0.33	$0.48	$0.77
United Facility/Professional Professional Modifier Low / Median / High Price $0.75 / $1.12 / $1.51	Professional		$0.75	$1.12	$1.51