Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $107.15 / $138.04	Professional		$95.50	$107.15	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $138.04 / $138.04	Facility		$97.72	$138.04	$138.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $138.04 / $147.91	Professional		$107.15	$138.04	$147.91
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 $95.50 / $134.90 / $165.96	Facility		$95.50	$134.90	$165.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $169.82	Professional		$58.88	$58.88	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $72.44 / $269.15	Professional		$12.88	$72.44	$269.15