Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $114.82 / $125.89	Professional		$91.20	$114.82	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Professional		$61.66	$61.66	$61.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $223.87 / $223.87	Facility		$114.82	$223.87	$223.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $218.78 / $234.42	Professional		$112.20	$218.78	$234.42
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 $100.00 / $151.36 / $263.03	Facility		$100.00	$151.36	$263.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $269.15	Professional		$63.10	$63.10	$269.15
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $114.82 / $288.40	Professional		$60.26	$114.82	$288.40