Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.36 / $87.47 / $102.99	Professional		$87.36	$87.47	$102.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.33 / $49.33 / $49.33	Professional		$49.33	$49.33	$49.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $87.47 / $102.99 / $123.59	Facility		$87.47	$102.99	$123.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $98.00 / $102.80 / $108.21	Professional		$98.00	$102.80	$108.21
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 $73.37 / $102.99 / $123.59	Facility		$73.37	$102.99	$123.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $49.33 / $125.53 / $10,000.00	Professional		$49.33	$125.53	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $51.28 / $53.98 / $228.18	Professional		$51.28	$53.98	$228.18