Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.58 / $53.91 / $73.70	Professional		$50.58	$53.91	$73.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.56 / $28.56 / $28.56	Professional		$28.56	$28.56	$28.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $53.02 / $73.70 / $88.44	Facility		$53.02	$73.70	$88.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $73.56 / $77.43	Professional		$52.00	$73.56	$77.43
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 $42.48 / $73.70 / $88.44	Facility		$42.48	$73.70	$88.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.56 / $77.38 / $10,000.00	Professional		$28.56	$77.38	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $27.45 / $38.63 / $143.61	Professional		$27.45	$38.63	$143.61