Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.35 / $169.23 / $244.25	Professional		$161.35	$169.23	$244.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.11 / $91.11 / $91.11	Professional		$91.11	$91.11	$91.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $152.91 / $244.25 / $293.10	Facility		$152.91	$244.25	$293.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $196.91 / $243.78 / $256.61	Professional		$196.91	$243.78	$256.61
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 $135.51 / $244.25 / $293.10	Facility		$135.51	$244.25	$293.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $91.11 / $242.89 / $10,000.00	Professional		$91.11	$242.89	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $82.45 / $128.02 / $458.11	Professional		$82.45	$128.02	$458.11