Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $645.65 / $933.25	Professional		$512.86	$645.65	$933.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Facility		$588.84	$588.84	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $616.60	Professional		$426.58	$426.58	$616.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $870.96 / $1,047.13	Facility		$275.42	$870.96	$1,047.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,047.13 / $2,754.23	Professional		$870.96	$1,047.13	$2,754.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,047.13 / $1,096.48	Facility		$794.33	$1,047.13	$1,096.48
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,047.13 / $1,071.52	Professional		$851.14	$1,047.13	$1,071.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $1,071.52	Facility		$275.42	$275.42	$1,071.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $588.84 / $851.14	Professional		$60.26	$588.84	$851.14
United Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $645.65	Facility		$575.44	$575.44	$645.65
United Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $537.03 / $2,089.30	Professional		$512.86	$537.03	$2,089.30