Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.30 / $20.37 / $45.60	Professional		$19.30	$20.37	$45.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.24 / $11.24 / $11.24	Professional		$11.24	$11.24	$11.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.61 / $45.60 / $54.72	Facility		$16.61	$45.60	$54.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.46 / $45.51 / $47.91	Professional		$22.46	$45.51	$47.91
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 $19.30 / $45.60 / $54.72	Facility		$19.30	$45.60	$54.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.24 / $27.71 / $10,000.00	Professional		$11.24	$27.71	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $10.78 / $23.90 / $56.54	Professional		$10.78	$23.90	$56.54