Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $509.01 / $509.01 / $509.01	Professional		$509.01	$509.01	$509.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $382.03 / $382.03 / $382.03	Facility		$382.03	$382.03	$382.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $278.88 / $382.03 / $393.49	Professional		$278.88	$382.03	$393.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $120.22 / $120.22 / $120.22	Facility		$120.22	$120.22	$120.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $156.84 / $559.50 / $883.43	Professional		$156.84	$559.50	$883.43
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $259.87 / $259.87 / $573.65	Facility		$259.87	$259.87	$573.65
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $435.58 / $573.65 / $1,316.10	Professional		$435.58	$573.65	$1,316.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $120.22 / $120.22 / $382.03	Facility		$120.22	$120.22	$382.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $278.88 / $465.38 / $707.82	Professional		$278.88	$465.38	$707.82
United Facility/Professional Professional Modifier Low / Median / High Price $326.04 / $624.91 / $815.10	Professional		$326.04	$624.91	$815.10