Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.94 / $66.77 / $72.20	Professional		$61.94	$66.77	$72.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.32 / $33.32 / $33.32	Professional		$33.32	$33.32	$33.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $53.80 / $72.20 / $86.64	Facility		$53.80	$72.20	$86.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $72.06 / $75.86 / $113.79	Professional		$72.06	$75.86	$113.79
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 $55.18 / $72.20 / $86.64	Facility		$55.18	$72.20	$86.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.32 / $88.90 / $10,000.00	Professional		$33.32	$88.90	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $27.12 / $37.84 / $72.53	Professional		$27.12	$37.84	$72.53