Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $310.95 / $310.95 / $310.95	Facility		$310.95	$310.95	$310.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $342.44 / $342.44 / $513.67	Professional		$342.44	$342.44	$513.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,060.27 / $1,060.27 / $1,060.27	Facility		$1,060.27	$1,060.27	$1,060.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.42 / $272.48 / $432.20	Professional		$169.42	$272.48	$432.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $123.21 / $123.21 / $489.69	Facility		$123.21	$123.21	$489.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $271.06 / $328.95 / $701.58	Professional		$271.06	$328.95	$701.58
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $362.50 / $468.45 / $703.95	Professional		$362.50	$468.45	$703.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $123.21 / $147.85 / $1,060.27	Facility		$123.21	$147.85	$1,060.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $151.02 / $358.28 / $633.08	Professional		$151.02	$358.28	$633.08
United Facility/Professional Professional Modifier Low / Median / High Price $137.43 / $335.28 / $614.67	Professional		$137.43	$335.28	$614.67