Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $549.54 / $1,071.52	Professional		$446.68	$549.54	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Professional		$575.44	$575.44	$575.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $446.68 / $758.58	Facility		$100.00	$446.68	$758.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $588.84 / $1,071.52	Professional		$60.26	$588.84	$1,071.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $100.00 / $1,000.00	Facility		$77.62	$100.00	$1,000.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $162.18 / $1,000.00	Professional		$100.00	$162.18	$1,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $549.54 / $851.14	Facility		$446.68	$549.54	$851.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $602.56 / $954.99	Professional		$60.26	$602.56	$954.99
United Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $316.23 / $691.83	Facility		$41.69	$316.23	$691.83
United Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $933.25 / $1,949.84	Professional		$489.78	$933.25	$1,949.84