Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.57 / $99.60 / $113.72	Professional		$85.57	$99.60	$113.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.24 / $48.24 / $48.24	Professional		$48.24	$48.24	$48.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $85.57 / $113.72 / $136.46	Facility		$85.57	$113.72	$136.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $113.51 / $119.48	Professional		$75.00	$113.51	$119.48
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 $73.87 / $113.72 / $136.46	Facility		$73.87	$113.72	$136.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.24 / $122.81 / $10,000.00	Professional		$48.24	$122.81	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $46.36 / $59.60 / $242.54	Professional		$46.36	$59.60	$242.54