Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.45 / $128.83 / $265.70	Professional		$46.45	$128.83	$265.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.27 / $59.41 / $100.66	Professional		$37.27	$59.41	$100.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $53.85 / $119.29 / $154.60	Facility		$53.85	$119.29	$154.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $123.24 / $132.05 / $292.00	Professional		$123.24	$132.05	$292.00
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 $37.06 / $132.31 / $318.83	Facility		$37.06	$132.31	$318.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.27 / $94.65 / $10,000.00	Professional		$37.27	$94.65	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $120.73 / $248.56	Professional		$40.00	$120.73	$248.56