Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.33 / $245.33 / $245.33	Professional		$245.33	$245.33	$245.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.90 / $131.90 / $131.90	Facility		$131.90	$131.90	$131.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.90 / $131.90 / $186.65	Professional		$131.90	$131.90	$186.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $142.86 / $245.33 / $350.82	Facility		$142.86	$245.33	$350.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $131.90 / $131.90 / $193.00	Professional		$131.90	$131.90	$193.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $217.90 / $720.00 / $3,495.87	Facility		$217.90	$720.00	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $373.50 / $495.00 / $540.00	Professional		$373.50	$495.00	$540.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $131.90 / $245.33 / $900.00	Facility		$131.90	$245.33	$900.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $131.90 / $181.37 / $540.00	Professional		$131.90	$181.37	$540.00
United Facility/Professional Professional Modifier Low / Median / High Price $197.85 / $197.85 / $395.70	Professional		$197.85	$197.85	$395.70