Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.97 / $121.97 / $150.53	Professional		$103.97	$121.97	$150.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.66 / $51.66 / $51.66	Professional		$51.66	$51.66	$51.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $86.69 / $150.53 / $180.64	Facility		$86.69	$150.53	$180.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $120.96 / $150.24 / $158.15	Professional		$120.96	$150.24	$158.15
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 $76.81 / $150.53 / $180.64	Facility		$76.81	$150.53	$180.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.66 / $149.22 / $10,000.00	Professional		$51.66	$149.22	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $46.74 / $78.90 / $259.70	Professional		$46.74	$78.90	$259.70