Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.70 / $198.46 / $198.46	Professional		$106.70	$198.46	$198.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.70 / $106.70 / $106.70	Facility		$106.70	$106.70	$106.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.70 / $106.70 / $150.99	Professional		$106.70	$106.70	$150.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $89.18 / $198.46 / $283.80	Facility		$89.18	$198.46	$283.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $106.70 / $106.70 / $160.05	Professional		$106.70	$106.70	$160.05
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $206.56 / $789.60 / $1,240.80	Facility		$206.56	$789.60	$1,240.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $468.12 / $620.40 / $676.80	Professional		$468.12	$620.40	$676.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $106.70 / $218.31 / $1,128.00	Facility		$106.70	$218.31	$1,128.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $106.70 / $181.36 / $676.80	Professional		$106.70	$181.36	$676.80
United Facility/Professional Professional Modifier Low / Median / High Price $160.05 / $163.01 / $320.10	Professional		$160.05	$163.01	$320.10