Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $524.81 / $524.81	Professional		$389.05	$524.81	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Professional		$354.81	$354.81	$354.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $288.40 / $389.05	Facility		$181.97	$288.40	$389.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $426.58 / $616.60	Professional		$60.26	$426.58	$616.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $173.78 / $1,737.80	Facility		$58.88	$173.78	$1,737.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $257.04 / $1,737.80	Professional		$162.18	$257.04	$1,737.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $288.40 / $354.81	Facility		$181.97	$288.40	$354.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $371.54 / $616.60	Professional		$60.26	$371.54	$616.60
United Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $173.78 / $446.68	Facility		$22.91	$173.78	$446.68
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $602.56 / $1,096.48	Professional		$309.03	$602.56	$1,096.48