Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.28 / $12.78 / $22.23	Professional		$12.28	$12.78	$22.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.22 / $7.22 / $7.22	Professional		$7.22	$7.22	$7.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.67 / $22.23 / $26.68	Facility		$10.67	$22.23	$26.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.29 / $22.19 / $23.36	Professional		$14.29	$22.19	$23.36
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 $10.73 / $22.23 / $26.68	Facility		$10.73	$22.23	$26.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.22 / $17.63 / $10,000.00	Professional		$7.22	$17.63	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $6.94 / $11.65 / $36.28	Professional		$6.94	$11.65	$36.28