Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.06 / $149.74 / $744.11	Professional		$122.06	$149.74	$744.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.00 / $119.00 / $119.00	Professional		$119.00	$119.00	$119.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $112.21 / $112.21 / $214.13	Facility		$112.21	$112.21	$214.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $245.01 / $245.01 / $830.44	Professional		$245.01	$245.01	$830.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.86 / $251.86 / $251.86	Professional		$251.86	$251.86	$251.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.21 / $112.21 / $214.13	Facility		$112.21	$112.21	$214.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $119.00 / $214.44 / $225.83	Professional		$119.00	$214.44	$225.83
United Facility/Professional Professional Modifier Low / Median / High Price $257.13 / $428.88 / $643.32	Professional		$257.13	$428.88	$643.32