Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $158.49 / $181.97	Professional		$141.25	$158.49	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $169.82 / $177.83	Facility		$162.18	$169.82	$177.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $169.82 / $177.83	Professional		$151.36	$169.82	$177.83
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 $144.54 / $173.78 / $223.87	Facility		$144.54	$173.78	$223.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $89.13 / $204.17	Professional		$79.43	$89.13	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $87.10 / $398.11	Professional		$77.62	$87.10	$398.11