Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $144.54 / $162.18	Professional		$131.83	$144.54	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $165.96 / $173.78	Facility		$134.90	$165.96	$173.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $173.78 / $173.78	Professional		$151.36	$173.78	$173.78
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 $131.83 / $162.18 / $194.98	Facility		$131.83	$162.18	$194.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $83.18 / $199.53	Professional		$79.43	$83.18	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $85.11 / $371.54	Professional		$75.86	$85.11	$371.54