Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.14 / $61.58 / $76.06	Professional		$58.14	$61.58	$76.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.15 / $31.15 / $31.15	Professional		$31.15	$31.15	$31.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $54.22 / $76.06 / $91.27	Facility		$54.22	$76.06	$91.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $71.66 / $75.91 / $79.91	Professional		$71.66	$75.91	$79.91
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 $46.75 / $76.06 / $91.27	Facility		$46.75	$76.06	$91.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.15 / $88.39 / $10,000.00	Professional		$31.15	$88.39	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $29.24 / $39.86 / $156.61	Professional		$29.24	$39.86	$156.61