Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.36 / $152.03 / $421.55	Professional		$107.36	$152.03	$421.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $647.48 / $647.48 / $647.48	Professional		$647.48	$647.48	$647.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $155.47 / $421.55 / $644.97	Facility		$155.47	$421.55	$644.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $250.54 / $250.54 / $395.95	Professional		$250.54	$250.54	$395.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $360.90 / $884.25 / $1,279.17	Professional		$360.90	$884.25	$1,279.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $138.21 / $421.55 / $644.97	Facility		$138.21	$421.55	$644.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $357.68 / $681.70 / $1,472.25	Professional		$357.68	$681.70	$1,472.25
United Facility/Professional Professional Modifier Low / Median / High Price $456.63 / $634.90 / $1,269.80	Professional		$456.63	$634.90	$1,269.80