Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.85 / $8.32 / $89.13	Facility		$0.85	$8.32	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $4.68 / $691.83	Professional		$4.68	$4.68	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.05 / $0.05 / $0.05	Professional		$0.05	$0.05	$0.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $0.05 / $11.75 / $537.03	Facility		$0.05	$11.75	$537.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $0.05 / $0.06 / $60.26	Professional		$0.05	$0.06	$60.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.10 / $0.17 / $0.26	Facility		$0.10	$0.17	$0.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.06 / $0.06 / $0.06	Professional		$0.06	$0.06	$0.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.09 / $0.09 / $0.13	Facility		$0.09	$0.09	$0.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.05 / $0.05 / $60.26	Professional		$0.05	$0.05	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $0.05 / $0.08 / $269.15	Professional		$0.05	$0.08	$269.15