Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.87 / $187.87 / $187.87	Facility		$187.87	$187.87	$187.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.89 / $206.89 / $289.54	Professional		$206.89	$206.89	$289.54
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 $104.34 / $215.45 / $243.74	Professional		$104.34	$215.45	$243.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $78.34 / $78.34 / $295.85	Facility		$78.34	$78.34	$295.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $168.20 / $201.84 / $436.26	Professional		$168.20	$201.84	$436.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $260.00 / $284.70 / $462.65	Professional		$260.00	$284.70	$462.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $78.34 / $94.02 / $1,060.27	Facility		$78.34	$94.02	$1,060.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $96.76 / $248.40 / $462.65	Professional		$96.76	$248.40	$462.65
United Facility/Professional Professional Modifier Low / Median / High Price $177.75 / $185.67 / $289.43	Professional		$177.75	$185.67	$289.43