Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $169.82 / $208.93	Professional		$141.25	$169.82	$208.93
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 $169.82 / $251.19 / $257.04	Facility		$169.82	$251.19	$257.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $245.47 / $263.03	Professional		$169.82	$245.47	$263.03
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 $151.36 / $245.47 / $295.12	Facility		$151.36	$245.47	$295.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $93.33 / $302.00	Professional		$79.43	$93.33	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $128.82 / $416.87	Professional		$83.18	$128.82	$416.87