Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.63 / $103.73 / $106.78	Professional		$84.63	$103.73	$106.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.93 / $43.93 / $43.93	Professional		$43.93	$43.93	$43.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $77.92 / $106.78 / $128.13	Facility		$77.92	$106.78	$128.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $106.58 / $112.19	Professional		$75.00	$106.58	$112.19
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 $65.34 / $106.78 / $128.13	Facility		$65.34	$106.78	$128.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.93 / $121.48 / $10,000.00	Professional		$43.93	$121.48	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $42.22 / $55.96 / $203.21	Professional		$42.22	$55.96	$203.21