Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $362.01 / $438.37 / $857.22	Professional		$362.01	$438.37	$857.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $384.21 / $568.98 / $1,287.61	Professional		$384.21	$568.98	$1,287.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $310.00 / $857.22 / $2,485.94	Facility		$310.00	$857.22	$2,485.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $344.14 / $344.14 / $491.63	Professional		$344.14	$344.14	$491.63
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $830.92 / $1,575.00 / $2,167.19	Professional		$830.92	$1,575.00	$2,167.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $381.07 / $857.22 / $2,485.94	Facility		$381.07	$857.22	$2,485.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $491.63 / $1,300.32 / $2,207.80	Professional		$491.63	$1,300.32	$2,207.80
United Facility/Professional Professional Modifier Low / Median / High Price $427.95 / $922.23 / $2,542.38	Professional		$427.95	$922.23	$2,542.38