Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $338.84 / $616.60	Professional		$239.88	$338.84	$616.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Facility		$363.08	$363.08	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $389.05	Professional		$263.03	$263.03	$389.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $467.74 / $676.08	Facility		$134.90	$467.74	$676.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $676.08 / $1,698.24	Professional		$537.03	$676.08	$1,698.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $691.83 / $724.44	Facility		$489.78	$691.83	$724.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $691.83 / $707.95	Professional		$562.34	$691.83	$707.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $575.44	Facility		$134.90	$134.90	$575.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $363.08 / $524.81	Professional		$60.26	$363.08	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $316.23	Facility		$275.42	$275.42	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $354.81 / $1,000.00	Professional		$316.23	$354.81	$1,000.00