Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $67.61 / $81.28	Professional		$57.54	$67.61	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Professional		$36.31	$36.31	$36.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $63.10 / $75.86	Facility		$61.66	$63.10	$75.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $66.07 / $77.62	Professional		$52.48	$66.07	$77.62
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 $61.66 / $66.07 / $97.72	Facility		$61.66	$66.07	$97.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $37.15 / $79.43	Professional		$37.15	$37.15	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $32.36 / $165.96	Professional		$10.96	$32.36	$165.96