Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $54.95 / $70.79	Professional		$48.98	$54.95	$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 $54.95 / $75.86 / $79.43	Professional		$54.95	$75.86	$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 / $74.13 / $89.13	Facility		$50.12	$74.13	$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 $12.88 / $38.90 / $138.04	Professional		$12.88	$38.90	$138.04