Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.48 / $404.13 / $404.13	Professional		$234.48	$404.13	$404.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.51 / $104.51 / $104.51	Professional		$104.51	$104.51	$104.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $404.13 / $404.13 / $484.96	Facility		$404.13	$404.13	$484.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $725.00 / $1,000.00 / $1,000.00	Professional		$725.00	$1,000.00	$1,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $404.13 / $404.13 / $484.96	Facility		$404.13	$404.13	$484.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $104.51 / $104.51 / $1,000.00	Professional		$104.51	$104.51	$1,000.00