Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $102.33 / $138.04	Professional		$81.28	$102.33	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Professional		$57.54	$57.54	$57.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $190.55 / $190.55	Facility		$100.00	$190.55	$190.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $138.04 / $199.53	Professional		$97.72	$138.04	$199.53
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 $89.13 / $128.82 / $223.87	Facility		$89.13	$128.82	$223.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $229.09	Professional		$58.88	$58.88	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $67.61 / $269.15	Professional		$15.14	$67.61	$269.15