Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $316.23 / $2,511.89	Facility		$194.98	$316.23	$2,511.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $58.88 / $275.42	Professional		$23.99	$58.88	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $186.21	Professional		$89.13	$89.13	$186.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $158.49 / $389.05	Facility		$21.88	$158.49	$389.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $87.10 / $194.98	Professional		$47.86	$87.10	$194.98
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $128.82 / $251.19	Professional		$67.61	$128.82	$251.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $58.88 / $275.42	Facility		$20.89	$58.88	$275.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $60.26 / $181.97	Professional		$37.15	$60.26	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $91.20 / $151.36	Professional		$41.69	$91.20	$151.36