Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.74 / $218.57 / $247.63	Professional		$139.74	$218.57	$247.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.49 / $128.49 / $128.49	Professional		$128.49	$128.49	$128.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $139.74 / $146.81 / $218.57	Facility		$139.74	$146.81	$218.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $139.47 / $139.47 / $254.31	Professional		$139.47	$139.47	$254.31
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 $139.74 / $146.81 / $218.57	Facility		$139.74	$146.81	$218.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $128.49 / $182.06 / $10,000.00	Professional		$128.49	$182.06	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $73.25 / $73.25 / $594.30	Professional		$73.25	$73.25	$594.30