Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.90 / $78.97 / $80.33	Professional		$56.90	$78.97	$80.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.45 / $33.45 / $33.45	Professional		$33.45	$33.45	$33.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $56.60 / $80.33 / $96.40	Facility		$56.60	$80.33	$96.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $80.18 / $84.40	Professional		$52.00	$80.18	$84.40
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 $49.75 / $80.33 / $96.40	Facility		$49.75	$80.33	$96.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.45 / $81.66 / $10,000.00	Professional		$33.45	$81.66	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $30.52 / $42.10 / $168.18	Professional		$30.52	$42.10	$168.18