Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.31 / $84.60 / $539.00	Facility		$0.31	$84.60	$539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.12 / $0.40	Professional		$0.11	$0.12	$0.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.11 / $0.11	Professional		$0.11	$0.11	$0.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $0.30 / $0.30 / $6.53	Facility		$0.30	$0.30	$6.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.13 / $0.35	Professional		$0.11	$0.13	$0.35
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.16 / $0.64 / $1.01	Facility		$0.16	$0.64	$1.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.16 / $0.64 / $1.52	Facility		$0.16	$0.64	$1.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.11 / $0.13	Professional		$0.11	$0.11	$0.13
United Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.17 / $0.22	Professional		$0.11	$0.17	$0.22