Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $53.70 / $70.79	Professional		$48.98	$53.70	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Professional		$29.51	$29.51	$29.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $75.86 / $75.86	Facility		$54.95	$75.86	$75.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $58.88 / $79.43	Professional		$52.48	$58.88	$79.43
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 $50.12 / $70.79 / $89.13	Facility		$50.12	$70.79	$89.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $91.20	Professional		$30.20	$30.20	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $37.15 / $134.90	Professional		$10.96	$37.15	$134.90