Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.89 / $267.77 / $749.84	Facility		$0.89	$267.77	$749.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.46 / $0.66 / $36.39	Professional		$0.46	$0.66	$36.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $0.77	Professional		$0.60	$0.60	$0.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $0.63 / $1.15 / $2.64	Facility		$0.63	$1.15	$2.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $0.63 / $0.63 / $1.42	Professional		$0.63	$0.63	$1.42
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.10 / $3.36 / $5.28	Facility		$1.10	$3.36	$5.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $2.88 / $2.88	Professional		$2.40	$2.88	$2.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.63 / $1.15 / $3.36	Facility		$0.63	$1.15	$3.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.96 / $2.64	Professional		$0.60	$0.96	$2.64
United Facility/Professional Professional Modifier Low / Median / High Price $0.67 / $0.95 / $1.89	Professional		$0.67	$0.95	$1.89