Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.98 / $52.03 / $73.73	Professional		$49.98	$52.03	$73.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.38 / $29.38 / $29.38	Professional		$29.38	$29.38	$29.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $49.98 / $73.73 / $88.48	Facility		$49.98	$73.73	$88.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $73.59 / $77.47	Professional		$52.00	$73.59	$77.47
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 $43.70 / $73.73 / $88.48	Facility		$43.70	$73.73	$88.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.38 / $71.73 / $10,000.00	Professional		$29.38	$71.73	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $28.24 / $38.65 / $147.72	Professional		$28.24	$38.65	$147.72