Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $190.55 / $218.78	Professional		$158.49	$190.55	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $204.17 / $213.80	Facility		$181.97	$204.17	$213.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $204.17 / $218.78	Professional		$177.83	$204.17	$218.78
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 $173.78 / $199.53 / $239.88	Facility		$173.78	$199.53	$239.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $107.15 / $245.47	Professional		$79.43	$107.15	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $104.71 / $478.63	Professional		$95.50	$104.71	$478.63