Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.38 / $33.86 / $113.18	Facility		$30.38	$33.86	$113.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.27 / $0.40 / $0.62	Professional		$0.27	$0.40	$0.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.22 / $0.22 / $0.22	Professional		$0.22	$0.22	$0.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $0.22 / $0.22 / $0.56	Facility		$0.22	$0.22	$0.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $0.22 / $0.26 / $0.37	Professional		$0.22	$0.26	$0.37
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.32 / $0.81 / $1.28	Facility		$0.32	$0.81	$1.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.57 / $0.64 / $0.70	Professional		$0.57	$0.64	$0.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.22 / $0.40 / $1.40	Facility		$0.22	$0.40	$1.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.22 / $0.26 / $0.70	Professional		$0.22	$0.26	$0.70
United Facility/Professional Professional Modifier Low / Median / High Price $0.23 / $0.33 / $0.44	Professional		$0.23	$0.33	$0.44