Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.94 / $200.46 / $206.02	Professional		$177.94	$200.46	$206.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.60 / $104.60 / $104.60	Professional		$104.60	$104.60	$104.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $175.55 / $200.46 / $240.55	Facility		$175.55	$200.46	$240.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $200.08 / $200.08 / $210.61	Professional		$200.08	$200.08	$210.61
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 $175.55 / $200.46 / $240.55	Facility		$175.55	$200.46	$240.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $104.60 / $246.80 / $10,000.00	Professional		$104.60	$246.80	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $94.65 / $105.07 / $525.92	Professional		$94.65	$105.07	$525.92