Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.70 / $19.47 / $29.62	Professional		$18.70	$19.47	$29.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $11.00 / $11.00	Professional		$11.00	$11.00	$11.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.50 / $29.62 / $35.54	Facility		$18.50	$29.62	$35.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.76 / $29.56 / $31.12	Professional		$21.76	$29.56	$31.12
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 $17.61 / $29.62 / $35.54	Facility		$17.61	$29.62	$35.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $26.84 / $10,000.00	Professional		$11.00	$26.84	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $11.43 / $15.53 / $50.85	Professional		$11.43	$15.53	$50.85