Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.63 / $62.73 / $221.35	Professional		$22.63	$62.73	$221.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.25 / $27.87 / $88.65	Professional		$17.25	$27.87	$88.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26.19 / $82.44 / $132.75	Facility		$26.19	$82.44	$132.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.15 / $108.78 / $256.00	Professional		$60.15	$108.78	$256.00
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 / $265.62	Facility		$18.09	$75.28	$265.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.25 / $75.00 / $10,000.00	Professional		$17.25	$75.00	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $53.55 / $183.93 / $304.56	Professional		$53.55	$183.93	$304.56