Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.41 / $91.59 / $126.53	Professional		$88.41	$91.59	$126.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.92 / $49.92 / $49.92	Professional		$49.92	$49.92	$49.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $89.03 / $126.53 / $151.84	Facility		$89.03	$126.53	$151.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $98.00 / $126.29 / $132.94	Professional		$98.00	$126.29	$132.94
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 $74.25 / $126.53 / $151.84	Facility		$74.25	$126.53	$151.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $49.92 / $131.47 / $10,000.00	Professional		$49.92	$131.47	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $40.63 / $66.31 / $127.11	Professional		$40.63	$66.31	$127.11