Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.04 / $21.44 / $104.04	Facility		$0.04	$21.44	$104.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.03 / $5.64	Professional		$0.02	$0.03	$5.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Professional		$0.02	$0.02	$0.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $0.03 / $3.54	Facility		$0.03	$0.03	$3.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.03 / $0.03	Professional		$0.02	$0.03	$0.03
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.20 / $0.31	Facility		$0.02	$0.20	$0.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.14 / $0.17 / $0.17	Professional		$0.14	$0.17	$0.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $0.03 / $0.20	Facility		$0.03	$0.03	$0.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.03 / $0.17	Professional		$0.02	$0.03	$0.17
United Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.03	Professional		$0.02	$0.02	$0.03