Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $42.94 / $43.53	Professional		$41.69	$42.94	$43.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.59 / $19.59 / $19.59	Professional		$19.59	$19.59	$19.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $32.88 / $43.53 / $52.24	Facility		$32.88	$43.53	$52.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $43.44 / $45.73 / $52.00	Professional		$43.44	$45.73	$52.00
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 $29.14 / $43.53 / $52.24	Facility		$29.14	$43.53	$52.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.59 / $53.59 / $10,000.00	Professional		$19.59	$53.59	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $17.73 / $22.82 / $90.64	Professional		$17.73	$22.82	$90.64