Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $280.50 / $446.00 / $446.00	Professional		$280.50	$446.00	$446.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $326.48 / $326.48 / $326.48	Professional		$326.48	$326.48	$326.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $637.78 / $637.78 / $637.78	Facility		$637.78	$637.78	$637.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $462.00 / $462.00 / $726.00	Facility		$462.00	$462.00	$726.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $462.00 / $637.78 / $1,089.00	Facility		$462.00	$637.78	$1,089.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $326.48 / $326.48 / $326.48	Professional		$326.48	$326.48	$326.48
United Facility/Professional Professional Modifier Low / Median / High Price $300.25 / $305.41 / $349.80	Professional		$300.25	$305.41	$349.80