Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $72.44 / $77.62	Professional		$52.48	$72.44	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Professional		$37.15	$37.15	$37.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $93.33 / $93.33	Facility		$69.18	$93.33	$93.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $93.33 / $100.00	Professional		$72.44	$93.33	$100.00
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 $61.66 / $91.20 / $109.65	Facility		$61.66	$91.20	$109.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $114.82	Professional		$38.02	$38.02	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $46.77 / $169.82	Professional		$15.14	$46.77	$169.82