Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $253.63 / $253.63 / $253.63	Professional		$253.63	$253.63	$253.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.39 / $178.39 / $178.39	Facility		$178.39	$178.39	$178.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.22 / $178.39 / $183.74	Professional		$130.22	$178.39	$183.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $77.23 / $77.23 / $77.23	Facility		$77.23	$77.23	$77.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $253.15 / $253.15 / $399.71	Professional		$253.15	$253.15	$399.71
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $233.33 / $233.33 / $260.22	Facility		$233.33	$233.33	$260.22
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $210.83 / $260.22 / $536.63	Professional		$210.83	$260.22	$536.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.23 / $77.23 / $221.57	Facility		$77.23	$77.23	$221.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $178.39 / $214.65 / $329.72	Professional		$178.39	$214.65	$329.72
United Facility/Professional Professional Modifier Low / Median / High Price $132.94 / $254.81 / $465.30	Professional		$132.94	$254.81	$465.30