Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.73 / $73.98 / $84.53	Professional		$73.73	$73.98	$84.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.59 / $37.59 / $37.59	Professional		$37.59	$37.59	$37.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $64.37 / $84.53 / $101.44	Facility		$64.37	$84.53	$101.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $84.37 / $86.07 / $98.00	Professional		$84.37	$86.07	$98.00
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 $55.91 / $84.53 / $101.44	Facility		$55.91	$84.53	$101.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.59 / $104.08 / $10,000.00	Professional		$37.59	$104.08	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $34.70 / $44.30 / $189.02	Professional		$34.70	$44.30	$189.02