Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.63 / $62.73 / $210.88	Professional		$22.63	$62.73	$210.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.97 / $36.97 / $84.12	Professional		$16.97	$36.97	$84.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26.19 / $78.62 / $125.82	Facility		$26.19	$78.62	$125.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.15 / $104.03 / $243.00	Professional		$60.15	$104.03	$243.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10,000.00 / $10,000.00 / $10,000.00	Professional		$10,000.00	$10,000.00	$10,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.09 / $75.28 / $253.06	Facility		$18.09	$75.28	$253.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.97 / $70.00 / $10,000.00	Professional		$16.97	$70.00	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $52.15 / $102.12 / $292.20	Professional		$52.15	$102.12	$292.20