Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $424.83 / $424.83 / $424.83	Professional		$424.83	$424.83	$424.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $321.50 / $321.50 / $321.50	Facility		$321.50	$321.50	$321.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.70 / $234.70 / $234.70	Professional		$234.70	$234.70	$234.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $143.01 / $143.01 / $143.01	Facility		$143.01	$143.01	$143.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $460.89 / $460.89 / $727.73	Professional		$460.89	$460.89	$727.73
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $424.81 / $424.81 / $473.78	Facility		$424.81	$424.81	$473.78
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $383.86 / $473.78 / $977.00	Professional		$383.86	$473.78	$977.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $143.01 / $143.01 / $321.50	Facility		$143.01	$143.01	$321.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $339.85 / $403.39 / $977.00	Professional		$339.85	$403.39	$977.00
United Facility/Professional Professional Modifier Low / Median / High Price $242.03 / $242.03 / $463.90	Professional		$242.03	$242.03	$463.90