Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $165.96 / $199.53	Professional		$141.25	$165.96	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $229.09 / $234.42	Facility		$162.18	$229.09	$234.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $199.53 / $239.88	Professional		$162.18	$199.53	$239.88
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 $154.88 / $223.87 / $269.15	Facility		$154.88	$223.87	$269.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $93.33 / $281.84	Professional		$79.43	$93.33	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $117.49 / $426.58	Professional		$83.18	$117.49	$426.58