Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $46.77 / $61.66	Professional		$42.66	$46.77	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Professional		$25.70	$25.70	$25.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $64.57 / $64.57	Facility		$50.12	$64.57	$64.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $52.48 / $69.18	Professional		$46.77	$52.48	$69.18
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 $43.65 / $64.57 / $75.86	Facility		$43.65	$64.57	$75.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $79.43	Professional		$26.30	$26.30	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $33.11 / $120.23	Professional		$10.96	$33.11	$120.23