Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.32 / $154.35 / $183.82	Professional		$121.32	$154.35	$183.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.33 / $71.33 / $71.33	Professional		$71.33	$71.33	$71.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $119.70 / $183.82 / $220.58	Facility		$119.70	$183.82	$220.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $141.16 / $183.47 / $193.13	Professional		$141.16	$183.47	$193.13
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 $119.70 / $183.82 / $220.58	Facility		$119.70	$183.82	$220.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $71.33 / $174.13 / $10,000.00	Professional		$71.33	$174.13	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $68.54 / $96.35 / $329.91	Professional		$68.54	$96.35	$329.91