Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.48 / $74.95 / $105.49	Professional		$69.48	$74.95	$105.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.11 / $36.11 / $36.11	Professional		$36.11	$36.11	$36.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $53.38 / $105.49 / $126.59	Facility		$53.38	$105.49	$126.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $80.84 / $105.29 / $110.83	Professional		$80.84	$105.29	$110.83
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 $56.60 / $105.49 / $126.59	Facility		$56.60	$105.49	$126.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.11 / $99.73 / $10,000.00	Professional		$36.11	$99.73	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $34.71 / $55.30 / $181.61	Professional		$34.71	$55.30	$181.61