Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.94 / $179.13 / $299.50	Professional		$143.94	$179.13	$299.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.06 / $141.06 / $141.15	Professional		$141.06	$141.06	$141.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $130.37 / $205.81 / $419.30	Facility		$130.37	$205.81	$419.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $242.73 / $459.96 / $522.54	Professional		$242.73	$459.96	$522.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $233.55 / $383.25 / $780.00	Professional		$233.55	$383.25	$780.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $143.94 / $228.47 / $419.30	Facility		$143.94	$228.47	$419.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $169.91 / $363.83 / $785.40	Professional		$169.91	$363.83	$785.40
United Facility/Professional Professional Modifier Low / Median / High Price $408.97 / $503.90 / $634.17	Professional		$408.97	$503.90	$634.17