Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $138.04 / $549.54	Professional		$120.23	$138.04	$549.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $138.04	Professional		$100.00	$100.00	$138.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $218.78 / $616.60	Facility		$69.18	$218.78	$616.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $616.60 / $977.24	Professional		$223.87	$616.60	$977.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $616.60 / $645.65	Facility		$204.17	$616.60	$645.65
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $616.60 / $630.96	Professional		$501.19	$616.60	$630.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $309.03	Facility		$69.18	$69.18	$309.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $134.90 / $218.78	Professional		$60.26	$134.90	$218.78
United Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $107.15	Facility		$85.11	$85.11	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $478.63 / $1,584.89	Professional		$162.18	$478.63	$1,584.89