Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.05 / $89.96 / $118.78	Professional		$86.05	$89.96	$118.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.61 / $42.61 / $42.61	Professional		$42.61	$42.61	$42.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $68.27 / $118.78 / $142.54	Facility		$68.27	$118.78	$142.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $100.13 / $118.55 / $124.79	Professional		$100.13	$118.55	$124.79
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 $63.38 / $118.78 / $142.54	Facility		$63.38	$118.78	$142.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.61 / $123.52 / $10,000.00	Professional		$42.61	$123.52	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $38.56 / $62.26 / $214.27	Professional		$38.56	$62.26	$214.27