Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.96 / $395.54 / $618.03	Facility		$218.96	$395.54	$618.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $360.22 / $395.54 / $609.20	Professional		$360.22	$395.54	$609.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $145.61 / $145.61 / $145.61	Facility		$145.61	$145.61	$145.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.71 / $60.71 / $75.89	Professional		$60.71	$60.71	$75.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $27.41 / $40.06 / $63.25	Facility		$27.41	$40.06	$63.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $52.71 / $52.71 / $210.84	Professional		$52.71	$52.71	$210.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $195.03 / $195.03 / $210.84	Facility		$195.03	$195.03	$210.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.44 / $79.06 / $210.84	Professional		$47.44	$79.06	$210.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.41 / $40.59 / $102.78	Facility		$27.41	$40.59	$102.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.07 / $52.71 / $144.94	Professional		$50.07	$52.71	$144.94
United Facility/Professional Professional Modifier Low / Median / High Price $23.72 / $105.42 / $159.04	Professional		$23.72	$105.42	$159.04