Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $28.84 / $32.36	Professional		$22.91	$28.84	$32.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $16.60 / $16.60	Professional		$16.60	$16.60	$16.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $85.11 / $85.11	Facility		$28.18	$85.11	$85.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $83.18 / $91.20	Professional		$28.84	$83.18	$91.20
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 $25.12 / $39.81 / $91.20	Facility		$25.12	$39.81	$91.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $16.60 / $104.71	Professional		$16.60	$16.60	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $44.67 / $75.86	Professional		$14.79	$44.67	$75.86