Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.92 / $91.42 / $169.85	Professional		$89.92	$91.42	$169.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.62 / $51.62 / $51.62	Professional		$51.62	$51.62	$51.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $85.81 / $169.85 / $203.82	Facility		$85.81	$169.85	$203.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $98.00 / $169.53 / $178.45	Professional		$98.00	$169.53	$178.45
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 $76.78 / $169.85 / $203.82	Facility		$76.78	$169.85	$203.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.62 / $129.06 / $10,000.00	Professional		$51.62	$129.06	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $49.97 / $76.98 / $238.77	Professional		$49.97	$76.98	$238.77