Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.56 / $84.11 / $96.65	Professional		$76.56	$84.11	$96.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.86 / $44.86 / $44.86	Professional		$44.86	$44.86	$44.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $76.56 / $96.65 / $115.98	Facility		$76.56	$96.65	$115.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $89.08 / $96.46 / $101.54	Professional		$89.08	$96.46	$101.54
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 $66.70 / $96.65 / $115.98	Facility		$66.70	$96.65	$115.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.86 / $109.88 / $10,000.00	Professional		$44.86	$109.88	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $43.10 / $50.66 / $225.53	Professional		$43.10	$50.66	$225.53