Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.64 / $231.35 / $456.28	Professional		$174.64	$231.35	$456.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.90 / $416.29 / $832.17	Professional		$216.90	$416.29	$832.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $387.84 / $456.28 / $965.32	Facility		$387.84	$456.28	$965.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $553.13 / $663.75 / $1,197.00	Professional		$553.13	$663.75	$1,197.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $539.20 / $684.00 / $903.50	Professional		$539.20	$684.00	$903.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $325.85 / $456.28 / $965.32	Facility		$325.85	$456.28	$965.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $275.95 / $616.77 / $903.50	Professional		$275.95	$616.77	$903.50
United Facility/Professional Professional Modifier Low / Median / High Price $239.07 / $666.92 / $875.45	Professional		$239.07	$666.92	$875.45