Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.39 / $1.37 / $887.42	Facility		$0.39	$1.37	$887.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.49 / $0.56 / $1.05	Professional		$0.49	$0.56	$1.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.56 / $0.56 / $0.69	Professional		$0.56	$0.56	$0.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $0.56 / $1.05 / $1.50	Facility		$0.56	$1.05	$1.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $0.56 / $0.56 / $1.13	Professional		$0.56	$0.56	$1.13
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.43 / $1.68 / $2.64	Facility		$0.43	$1.68	$2.64
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.20 / $1.44 / $1.44	Professional		$1.20	$1.44	$1.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.66 / $1.32 / $4.75	Facility		$0.66	$1.32	$4.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.38 / $0.56 / $1.58	Professional		$0.38	$0.56	$1.58
United Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.86 / $1.71	Professional		$0.60	$0.86	$1.71