Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $283.52 / $326.39 / $638.01	Professional		$283.52	$326.39	$638.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.28 / $422.35 / $971.10	Professional		$251.28	$422.35	$971.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $272.14 / $638.01 / $912.35	Facility		$272.14	$638.01	$912.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $270.99 / $387.13 / $387.13	Professional		$270.99	$387.13	$387.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $460.58 / $978.00 / $1,630.00	Professional		$460.58	$978.00	$1,630.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $272.14 / $638.01 / $912.35	Facility		$272.14	$638.01	$912.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $387.13 / $919.71 / $1,589.25	Professional		$387.13	$919.71	$1,589.25
United Facility/Professional Professional Modifier Low / Median / High Price $314.81 / $707.28 / $1,526.91	Professional		$314.81	$707.28	$1,526.91