Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.85 / $253.09 / $253.09	Professional		$85.85	$253.09	$253.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.78 / $135.78 / $135.78	Professional		$135.78	$135.78	$135.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $209.33 / $253.09 / $354.33	Facility		$209.33	$253.09	$354.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $252.61 / $252.61 / $797.70	Professional		$252.61	$252.61	$797.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $259.67 / $259.67 / $3,495.87	Facility		$259.67	$259.67	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $210.39 / $259.67 / $259.67	Professional		$210.39	$259.67	$259.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $209.33 / $253.09 / $354.33	Facility		$209.33	$253.09	$354.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $186.26 / $221.09 / $311.60	Professional		$186.26	$221.09	$311.60
United Facility/Professional Professional Modifier Low / Median / High Price $128.51 / $138.78 / $663.27	Professional		$128.51	$138.78	$663.27