Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $77.62 / $102.33	Professional		$69.18	$77.62	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Professional		$42.66	$42.66	$42.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $123.03 / $123.03	Facility		$70.79	$123.03	$123.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $120.23 / $128.82	Professional		$81.28	$120.23	$128.82
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 $69.18 / $102.33 / $144.54	Facility		$69.18	$102.33	$144.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $151.36	Professional		$42.66	$42.66	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $61.66 / $194.98	Professional		$10.96	$61.66	$194.98