Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.37 / $130.44 / $136.13	Professional		$126.37	$130.44	$136.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.92 / $63.92 / $63.92	Professional		$63.92	$63.92	$63.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $107.28 / $130.44 / $156.53	Facility		$107.28	$130.44	$156.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $130.19 / $137.04 / $158.38	Professional		$130.19	$137.04	$158.38
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 $105.05 / $130.44 / $156.53	Facility		$105.05	$130.44	$156.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.92 / $160.60 / $10,000.00	Professional		$63.92	$160.60	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $57.84 / $68.37 / $295.66	Professional		$57.84	$68.37	$295.66