Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.93 / $52.69 / $86.87	Professional		$42.93	$52.69	$86.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.24 / $25.24 / $25.24	Professional		$25.24	$25.24	$25.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $42.36 / $86.87 / $104.24	Facility		$42.36	$86.87	$104.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $49.95 / $86.71 / $91.27	Professional		$49.95	$86.71	$91.27
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 $39.83 / $86.87 / $104.24	Facility		$39.83	$86.87	$104.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.24 / $61.62 / $10,000.00	Professional		$25.24	$61.62	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $24.25 / $45.53 / $116.75	Professional		$24.25	$45.53	$116.75