Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.37 / $539.98 / $9,577.00	Facility		$190.37	$539.98	$9,577.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.56 / $276.79 / $656.50	Professional		$55.56	$276.79	$656.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.41 / $191.85 / $345.96	Professional		$93.41	$191.85	$345.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $276.79 / $387.51 / $735.28	Facility		$276.79	$387.51	$735.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $135.05 / $173.94 / $327.02	Professional		$135.05	$173.94	$327.02
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $180.40 / $245.90 / $471.13	Professional		$180.40	$245.90	$471.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $276.79 / $395.81 / $735.28	Facility		$276.79	$395.81	$735.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $106.19 / $244.50 / $472.50	Professional		$106.19	$244.50	$472.50
United Facility/Professional Professional Modifier Low / Median / High Price $119.70 / $276.76 / $417.52	Professional		$119.70	$276.76	$417.52