Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.91 / $57.95 / $63.92	Professional		$43.91	$57.95	$63.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.82 / $25.82 / $25.82	Professional		$25.82	$25.82	$25.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $43.91 / $63.92 / $76.70	Facility		$43.91	$63.92	$76.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $51.10 / $63.79 / $67.15	Professional		$51.10	$63.79	$67.15
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 $38.40 / $63.92 / $76.70	Facility		$38.40	$63.92	$76.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.82 / $63.04 / $10,000.00	Professional		$25.82	$63.04	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $24.81 / $33.50 / $129.82	Professional		$24.81	$33.50	$129.82