Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $660.69 / $1,348.96	Professional		$524.81	$660.69	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Professional		$741.31	$741.31	$741.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $524.81 / $870.96	Facility		$125.89	$524.81	$870.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $524.81 / $1,348.96	Professional		$60.26	$524.81	$1,348.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $125.89 / $1,258.93	Facility		$91.20	$125.89	$1,258.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $239.88 / $1,258.93	Professional		$109.65	$239.88	$1,258.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $616.60 / $1,000.00	Facility		$446.68	$616.60	$1,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $812.83	Professional		$60.26	$60.26	$812.83
United Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $70.79 / $707.95	Facility		$48.98	$70.79	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $131.83 / $316.23	Professional		$61.66	$131.83	$316.23