Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.52 / $140.99 / $271.64	Professional		$61.52	$140.99	$271.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.01 / $75.11 / $112.00	Professional		$47.01	$75.11	$112.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $70.54 / $120.89 / $201.34	Facility		$70.54	$120.89	$201.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $112.50 / $169.00 / $296.00	Professional		$112.50	$169.00	$296.00
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 $49.22 / $140.99 / $325.98	Facility		$49.22	$140.99	$325.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.01 / $101.53 / $10,000.00	Professional		$47.01	$101.53	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $75.59 / $132.94 / $397.44	Professional		$75.59	$132.94	$397.44