Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.17 / $9.77 / $83.18	Facility		$4.17	$9.77	$83.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $1.26 / $9.77	Professional		$1.26	$1.26	$9.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.40 / $0.40 / $0.40	Professional		$0.40	$0.40	$0.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $0.40 / $0.42 / $60.26	Facility		$0.40	$0.42	$60.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $0.40 / $0.56 / $1.29	Professional		$0.40	$0.56	$1.29
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.50 / $0.68 / $0.79	Facility		$0.50	$0.68	$0.79
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $0.43 / $0.43	Professional		$0.36	$0.43	$0.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.39 / $0.42 / $0.79	Facility		$0.39	$0.42	$0.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.43 / $0.51 / $60.26	Professional		$0.43	$0.51	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $0.56 / $0.60 / $2.00	Professional		$0.56	$0.60	$2.00