Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.51 / $2.51 / $2.51	Facility		$2.51	$2.51	$2.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.12 / $1.51 / $389.05	Professional		$1.12	$1.51	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $0.36 / $0.36	Professional		$0.36	$0.36	$0.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $0.36 / $0.36 / $0.43	Facility		$0.36	$0.36	$0.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $0.36 / $1.15	Professional		$0.36	$0.36	$1.15
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.36 / $2.45 / $3.80	Facility		$0.36	$2.45	$3.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.31 / $0.31 / $0.31	Professional		$0.31	$0.31	$0.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.68 / $0.68 / $0.95	Facility		$0.68	$0.68	$0.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.23 / $0.23 / $60.26	Professional		$0.23	$0.23	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $0.54 / $2,951.21	Professional		$0.36	$0.54	$2,951.21