Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.93 / $75.28 / $96.31	Professional		$67.93	$75.28	$96.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.71 / $38.71 / $38.71	Professional		$38.71	$38.71	$38.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $67.93 / $96.31 / $115.57	Facility		$67.93	$96.31	$115.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $79.05 / $96.12 / $101.18	Professional		$79.05	$96.12	$101.18
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 $57.67 / $96.31 / $115.57	Facility		$57.67	$96.31	$115.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.71 / $97.51 / $10,000.00	Professional		$38.71	$97.51	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $31.50 / $50.48 / $179.05	Professional		$31.50	$50.48	$179.05