Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $501.19 / $794.33	Facility		$275.42	$501.19	$794.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $60.26 / $213.80	Professional		$51.29	$60.26	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $91.20	Professional		$74.13	$74.13	$91.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $64.57 / $288.40	Facility		$42.66	$64.57	$288.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $208.93	Professional		$64.57	$64.57	$208.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $239.88 / $257.04	Facility		$223.87	$239.88	$257.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $144.54 / $144.54	Professional		$95.50	$144.54	$144.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $50.12 / $117.49	Facility		$33.11	$50.12	$117.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $64.57	Professional		$61.66	$61.66	$64.57
United Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $128.82 / $194.98	Professional		$28.84	$128.82	$194.98