Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.43 / $269.17 / $1,337.58	Professional		$219.43	$269.17	$1,337.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.25 / $208.25 / $208.25	Professional		$208.25	$208.25	$208.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $132.91 / $132.91 / $384.91	Facility		$132.91	$132.91	$384.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $440.42 / $440.42 / $1,492.79	Professional		$440.42	$440.42	$1,492.79
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $452.73 / $452.73 / $452.73	Professional		$452.73	$452.73	$452.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $132.91 / $132.91 / $384.91	Facility		$132.91	$132.91	$384.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $208.25 / $385.47 / $405.94	Professional		$208.25	$385.47	$405.94
United Facility/Professional Professional Modifier Low / Median / High Price $462.25 / $770.94 / $1,156.41	Professional		$462.25	$770.94	$1,156.41