Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.96 / $198.96 / $198.96	Professional		$198.96	$198.96	$198.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.97 / $106.97 / $106.97	Facility		$106.97	$106.97	$106.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.97 / $106.97 / $151.37	Professional		$106.97	$106.97	$151.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $64.75 / $198.96 / $278.54	Facility		$64.75	$198.96	$278.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $106.97 / $106.97 / $149.76	Professional		$106.97	$106.97	$149.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.33 / $179.28 / $3,495.87	Facility		$57.33	$179.28	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.33 / $123.26 / $134.46	Professional		$57.33	$123.26	$134.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $106.97 / $198.96 / $278.54	Facility		$106.97	$198.96	$278.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $92.76 / $116.66 / $134.46	Professional		$92.76	$116.66	$134.46
United Facility/Professional Professional Modifier Low / Median / High Price $160.46 / $160.46 / $320.91	Professional		$160.46	$160.46	$320.91