Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $83.18 / $107.15	Professional		$72.44	$83.18	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Professional		$45.71	$45.71	$45.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $97.72 / $102.33	Facility		$95.50	$97.72	$102.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $97.72 / $102.33	Professional		$81.28	$97.72	$102.33
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 $79.43 / $97.72 / $131.83	Facility		$79.43	$97.72	$131.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $117.49	Professional		$46.77	$46.77	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $50.12 / $213.80	Professional		$15.14	$50.12	$213.80