Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.75 / $149.65 / $388.16	Professional		$143.75	$149.65	$388.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.51 / $84.51 / $84.51	Professional		$84.51	$84.51	$84.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $141.82 / $388.16 / $465.79	Facility		$141.82	$388.16	$465.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $167.26 / $387.42 / $407.81	Professional		$167.26	$387.42	$407.81
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 $135.49 / $388.16 / $465.79	Facility		$135.49	$388.16	$465.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $84.51 / $206.32 / $10,000.00	Professional		$84.51	$206.32	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $68.77 / $203.45 / $390.88	Professional		$68.77	$203.45	$390.88