Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $616.60 / $977.24	Facility		$338.84	$616.60	$977.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $74.13 / $263.03	Professional		$63.10	$74.13	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Facility		$218.78	$218.78	$218.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $562.34	Facility		$79.43	$79.43	$562.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $234.42 / $257.04	Professional		$63.10	$234.42	$257.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $295.12 / $316.23	Facility		$79.43	$295.12	$316.23
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Professional		$177.83	$177.83	$177.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $218.78 / $380.19	Facility		$63.10	$218.78	$380.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $70.79	Professional		$60.26	$60.26	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $158.49 / $239.88	Professional		$47.86	$158.49	$239.88