Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.26 / $119.99 / $184.44	Professional		$115.26	$119.99	$184.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.76 / $67.76 / $67.76	Professional		$67.76	$67.76	$67.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $100.12 / $184.44 / $221.33	Facility		$100.12	$184.44	$221.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $134.10 / $184.09 / $193.78	Professional		$134.10	$184.09	$193.78
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 $100.77 / $184.44 / $221.33	Facility		$100.77	$184.44	$221.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.76 / $165.42 / $10,000.00	Professional		$67.76	$165.42	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $55.14 / $96.68 / $313.39	Professional		$55.14	$96.68	$313.39