Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $95.50 / $109.65	Professional		$72.44	$95.50	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Professional		$48.98	$48.98	$48.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $173.78 / $173.78	Facility		$91.20	$173.78	$173.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $173.78 / $186.21	Professional		$95.50	$173.78	$186.21
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 $81.28 / $128.82 / $204.17	Facility		$81.28	$128.82	$204.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $213.80	Professional		$50.12	$50.12	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $61.66 / $229.09	Professional		$12.88	$61.66	$229.09