Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.71 / $101.58 / $106.20	Professional		$87.71	$101.58	$106.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.82 / $46.82 / $46.82	Professional		$46.82	$46.82	$46.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $78.58 / $101.58 / $121.90	Facility		$78.58	$101.58	$121.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $101.38 / $106.72 / $123.57	Professional		$101.38	$106.72	$123.57
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 $72.14 / $101.58 / $121.90	Facility		$72.14	$101.58	$121.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $46.82 / $125.06 / $10,000.00	Professional		$46.82	$125.06	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $42.37 / $53.24 / $235.42	Professional		$42.37	$53.24	$235.42