Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $57.54 / $63.10	Professional		$42.66	$57.54	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Professional		$30.90	$30.90	$30.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $67.61 / $74.13	Facility		$50.12	$67.61	$74.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $64.57 / $72.44	Professional		$52.48	$64.57	$72.44
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 $50.12 / $67.61 / $79.43	Facility		$50.12	$67.61	$79.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $79.43	Professional		$31.62	$31.62	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $34.67 / $141.25	Professional		$31.62	$34.67	$141.25