Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,548.82 / $2,454.71	Facility		$870.96	$1,548.82	$2,454.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $186.21 / $676.08	Professional		$128.82	$186.21	$676.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $954.99	Facility		$199.53	$199.53	$954.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $645.65	Professional		$199.53	$199.53	$645.65
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $741.31 / $794.33	Facility		$707.95	$741.31	$794.33
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Professional		$446.68	$446.68	$446.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $549.54 / $954.99	Facility		$158.49	$549.54	$954.99
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $398.11 / $602.56	Professional		$120.23	$398.11	$602.56