Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.59 / $116.46 / $229.79	Professional		$87.59	$116.46	$229.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.91 / $211.03 / $417.47	Professional		$108.91	$211.03	$417.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $195.32 / $229.79 / $484.27	Facility		$195.32	$229.79	$484.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $277.38 / $332.85 / $600.25	Professional		$277.38	$332.85	$600.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $270.39 / $343.00 / $453.70	Professional		$270.39	$343.00	$453.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $162.66 / $229.79 / $484.27	Facility		$162.66	$229.79	$484.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $138.55 / $309.66 / $461.69	Professional		$138.55	$309.66	$461.69
United Facility/Professional Professional Modifier Low / Median / High Price $117.25 / $333.98 / $439.18	Professional		$117.25	$333.98	$439.18