Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.22 / $53.45 / $58.10	Professional		$20.22	$53.45	$58.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.18 / $30.18 / $30.18	Professional		$30.18	$30.18	$30.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.22 / $21.25 / $59.46	Facility		$20.22	$21.25	$59.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.19 / $21.25 / $67.59	Professional		$20.19	$21.25	$67.59
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 $20.22 / $21.25 / $59.85	Facility		$20.22	$21.25	$59.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.18 / $42.66 / $10,000.00	Professional		$30.18	$42.66	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $10.60 / $24.56 / $151.75	Professional		$10.60	$24.56	$151.75