Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.31 / $90.90 / $133.28	Professional		$87.31	$90.90	$133.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.33 / $51.33 / $51.33	Professional		$51.33	$51.33	$51.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $85.30 / $133.28 / $159.94	Facility		$85.30	$133.28	$159.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $98.00 / $133.03 / $140.03	Professional		$98.00	$133.03	$140.03
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 $76.34 / $133.28 / $159.94	Facility		$76.34	$133.28	$159.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.33 / $125.32 / $10,000.00	Professional		$51.33	$125.32	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $53.35 / $69.86 / $237.43	Professional		$53.35	$69.86	$237.43