Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.95 / $94.92 / $196.81	Professional		$92.95	$94.92	$196.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.89 / $50.89 / $50.89	Professional		$50.89	$50.89	$50.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $80.67 / $196.81 / $236.17	Facility		$80.67	$196.81	$236.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $110.45 / $196.44 / $206.78	Professional		$110.45	$196.44	$206.78
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 $75.68 / $196.81 / $236.17	Facility		$75.68	$196.81	$236.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.89 / $136.25 / $10,000.00	Professional		$50.89	$136.25	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $50.29 / $103.16 / $235.37	Professional		$50.29	$103.16	$235.37