Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.23 / $121.73 / $194.39	Professional		$119.23	$121.73	$194.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.73 / $68.73 / $68.73	Professional		$68.73	$68.73	$68.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $101.57 / $194.39 / $233.27	Facility		$101.57	$194.39	$233.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $138.71 / $194.02 / $204.23	Professional		$138.71	$194.02	$204.23
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 $102.23 / $194.39 / $233.27	Facility		$102.23	$194.39	$233.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $68.73 / $171.11 / $10,000.00	Professional		$68.73	$171.11	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $66.06 / $101.89 / $317.95	Professional		$66.06	$101.89	$317.95