Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $158.49 / $158.49	Professional		$7.94	$158.49	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Professional		$25.12	$25.12	$25.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $218.78	Facility		$158.49	$158.49	$218.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $158.49 / $158.49	Professional		$7.94	$158.49	$158.49
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Facility		$3,467.37	$3,467.37	$3,467.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $158.49 / $223.87	Facility		$29.51	$158.49	$223.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $60.26	Professional		$25.12	$25.12	$60.26