Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $235.86 / $235.86 / $678.52	Professional		$235.86	$235.86	$678.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.79 / $198.79 / $198.79	Professional		$198.79	$198.79	$198.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $352.45 / $648.21 / $1,169.00	Professional		$352.45	$648.21	$1,169.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $835.00 / $927.50 / $2,263.10	Professional		$835.00	$927.50	$2,263.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $527.38 / $1,093.50 / $2,263.10	Professional		$527.38	$1,093.50	$2,263.10
United Facility/Professional Professional Modifier Low / Median / High Price $273.79 / $881.91 / $3,364.31	Professional		$273.79	$881.91	$3,364.31