Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $263.03 / $380.19	Professional		$239.88	$263.03	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Facility		$288.40	$288.40	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $309.03	Professional		$208.93	$208.93	$309.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $380.19 / $416.87	Facility		$128.82	$380.19	$416.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $446.68 / $1,412.54	Professional		$323.59	$446.68	$1,412.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $426.58 / $446.68	Facility		$380.19	$426.58	$446.68
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $426.58 / $436.52	Professional		$346.74	$426.58	$436.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $446.68	Facility		$128.82	$128.82	$446.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $288.40 / $416.87	Professional		$60.26	$288.40	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $295.12	Facility		$263.03	$263.03	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $218.78 / $954.99	Professional		$208.93	$218.78	$954.99