Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.89 / $80.16 / $104.62	Professional		$79.89	$80.16	$104.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.73 / $43.73 / $43.73	Professional		$43.73	$43.73	$43.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $79.89 / $104.62 / $125.54	Facility		$79.89	$104.62	$125.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $92.95 / $104.42 / $109.92	Professional		$92.95	$104.42	$109.92
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 $65.03 / $104.62 / $125.54	Facility		$65.03	$104.62	$125.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.73 / $114.66 / $10,000.00	Professional		$43.73	$114.66	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $42.02 / $54.84 / $202.24	Professional		$42.02	$54.84	$202.24