Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.17 / $180.27 / $349.64	Professional		$173.17	$180.27	$349.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.80 / $101.80 / $101.80	Professional		$101.80	$101.80	$101.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $162.69 / $349.64 / $419.57	Facility		$162.69	$349.64	$419.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $201.48 / $348.97 / $367.34	Professional		$201.48	$348.97	$367.34
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 $170.84 / $349.64 / $419.57	Facility		$170.84	$349.64	$419.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $101.80 / $248.53 / $10,000.00	Professional		$101.80	$248.53	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $97.82 / $183.26 / $470.84	Professional		$97.82	$183.26	$470.84