Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $693.69 / $693.69 / $693.69	Professional		$693.69	$693.69	$693.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $525.23 / $525.23 / $525.23	Facility		$525.23	$525.23	$525.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $383.42 / $525.23 / $559.92	Professional		$383.42	$525.23	$559.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $245.20 / $245.20 / $245.20	Facility		$245.20	$245.20	$245.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $752.57 / $752.57 / $1,188.27	Professional		$752.57	$752.57	$1,188.27
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $693.66 / $693.66 / $773.61	Facility		$693.66	$693.66	$773.61
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $626.79 / $773.61 / $1,595.30	Professional		$626.79	$773.61	$1,595.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $245.20 / $245.20 / $525.23	Facility		$245.20	$245.20	$525.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $525.23 / $658.68 / $980.21	Professional		$525.23	$658.68	$980.21
United Facility/Professional Professional Modifier Low / Median / High Price $382.87 / $395.21 / $757.48	Professional		$382.87	$395.21	$757.48