Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $596.64 / $596.64 / $596.64	Professional		$596.64	$596.64	$596.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $279.36 / $279.36 / $279.36	Facility		$279.36	$279.36	$279.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $237.46 / $279.36 / $287.74	Professional		$237.46	$279.36	$287.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $193.97 / $329.04 / $471.06	Facility		$193.97	$329.04	$471.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $53.24 / $55.54 / $58.46	Professional		$53.24	$55.54	$58.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.76 / $436.70 / $1,091.75	Professional		$55.76	$436.70	$1,091.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $230.18 / $310.47 / $465.71	Facility		$230.18	$310.47	$465.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $237.46 / $279.36 / $287.74	Professional		$237.46	$279.36	$287.74
United Facility/Professional Professional Modifier Low / Median / High Price $282.83 / $542.11 / $989.94	Professional		$282.83	$542.11	$989.94