Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.45 / $189.45 / $189.45	Professional		$189.45	$189.45	$189.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.50 / $111.50 / $111.50	Facility		$111.50	$111.50	$111.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.78 / $111.50 / $111.50	Professional		$94.78	$111.50	$111.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $60.21 / $94.81 / $141.79	Facility		$60.21	$94.81	$141.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.25 / $149.21 / $181.52	Professional		$17.25	$149.21	$181.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.43 / $146.06 / $387.06	Professional		$14.43	$146.06	$387.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.28 / $99.16 / $140.16	Facility		$69.28	$99.16	$140.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $94.78 / $111.50 / $111.50	Professional		$94.78	$111.50	$111.50
United Facility/Professional Professional Modifier Low / Median / High Price $89.80 / $172.12 / $314.31	Professional		$89.80	$172.12	$314.31