Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $56.23 / $67.61	Professional		$46.77	$56.23	$67.61
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 $56.23 / $69.18 / $72.44	Facility		$56.23	$69.18	$72.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $72.44 / $74.13	Professional		$53.70	$72.44	$74.13
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 / $67.61 / $81.28	Facility		$50.12	$67.61	$81.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $83.18	Professional		$30.20	$30.20	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $35.48 / $138.04	Professional		$12.88	$35.48	$138.04