Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.26 / $71.43 / $85.14	Professional		$71.26	$71.43	$85.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.15 / $39.15 / $39.15	Professional		$39.15	$39.15	$39.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $65.78 / $71.43 / $85.72	Facility		$65.78	$71.43	$85.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $71.30 / $82.92	Professional		$52.00	$71.30	$82.92
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 $58.24 / $71.43 / $85.72	Facility		$58.24	$71.43	$85.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.15 / $87.95 / $10,000.00	Professional		$39.15	$87.95	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $35.46 / $37.63 / $196.88	Professional		$35.46	$37.63	$196.88