Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $407.38 / $407.38	Professional		$309.03	$407.38	$407.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Facility		$269.15	$269.15	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $269.15 / $275.42	Professional		$229.09	$269.15	$275.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $288.40 / $389.05	Facility		$38.02	$288.40	$389.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $380.19 / $1,288.25	Professional		$371.54	$380.19	$1,288.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $38.02 / $380.19	Facility		$33.88	$38.02	$380.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $74.13 / $380.19	Professional		$31.62	$74.13	$380.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $354.81	Facility		$281.84	$281.84	$354.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $269.15 / $436.52	Professional		$60.26	$269.15	$436.52
United Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $123.03 / $295.12	Facility		$16.60	$123.03	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $371.54 / $676.08	Professional		$194.98	$371.54	$676.08