Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.77 / $70.25 / $91.35	Professional		$58.77	$70.25	$91.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.54 / $34.54 / $34.54	Professional		$34.54	$34.54	$34.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $58.77 / $91.35 / $109.62	Facility		$58.77	$91.35	$109.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $68.38 / $91.18 / $95.98	Professional		$68.38	$91.18	$95.98
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 $53.61 / $91.35 / $109.62	Facility		$53.61	$91.35	$109.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.54 / $84.35 / $10,000.00	Professional		$34.54	$84.35	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $33.20 / $47.88 / $159.80	Professional		$33.20	$47.88	$159.80