Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.66 / $52.78 / $116.39	Professional		$19.66	$52.78	$116.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $21.88 / $44.09	Professional		$14.74	$21.88	$44.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.50 / $51.85 / $65.23	Facility		$22.50	$51.85	$65.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $50.70 / $82.53 / $128.00	Professional		$50.70	$82.53	$128.00
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 $15.44 / $63.34 / $139.66	Facility		$15.44	$63.34	$139.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $41.82 / $10,000.00	Professional		$14.74	$41.82	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $36.76 / $95.58 / $167.00	Professional		$36.76	$95.58	$167.00