Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $251.19 / $281.84	Professional		$158.49	$251.19	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Professional		$114.82	$114.82	$114.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $316.23 / $316.23	Facility		$251.19	$316.23	$316.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $316.23 / $331.13	Professional		$239.88	$316.23	$331.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Professional		$323.59	$323.59	$323.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $309.03 / $371.54	Facility		$169.82	$309.03	$371.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $117.49 / $389.05	Professional		$79.43	$117.49	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $162.18 / $537.03	Professional		$120.23	$162.18	$537.03