Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $256.29 / $1,195.05 / $2,030.42	Facility		$256.29	$1,195.05	$2,030.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $580.12 / $580.12 / $1,113.48	Professional		$580.12	$580.12	$1,113.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.38 / $478.38 / $478.38	Facility		$478.38	$478.38	$478.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.06 / $127.06 / $273.89	Professional		$127.06	$127.06	$273.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $829.57 / $829.57 / $829.57	Facility		$829.57	$829.57	$829.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $173.17 / $173.17 / $557.61	Professional		$173.17	$173.17	$557.61
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $606.09 / $666.70 / $1,117.08	Facility		$606.09	$666.70	$1,117.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.85 / $389.63 / $389.63	Professional		$155.85	$389.63	$389.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $478.38 / $666.70 / $1,117.08	Facility		$478.38	$666.70	$1,117.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $127.06 / $173.18 / $273.89	Professional		$127.06	$173.18	$273.89
United Facility/Professional Professional Modifier Low / Median / High Price $337.08 / $427.60 / $519.51	Professional		$337.08	$427.60	$519.51