Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $286.41 / $565.20 / $10,900.00	Facility		$286.41	$565.20	$10,900.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.92 / $127.06 / $606.07	Professional		$62.92	$127.06	$606.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.53 / $200.33 / $364.02	Professional		$97.53	$200.33	$364.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $295.62 / $422.74 / $773.64	Facility		$295.62	$422.74	$773.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $139.90 / $167.88 / $340.62	Professional		$139.90	$167.88	$340.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.27 / $257.54 / $490.70	Professional		$139.27	$257.54	$490.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $295.62 / $422.74 / $773.64	Facility		$295.62	$422.74	$773.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $111.36 / $258.00 / $493.50	Professional		$111.36	$258.00	$493.50
United Facility/Professional Professional Modifier Low / Median / High Price $125.01 / $291.22 / $439.34	Professional		$125.01	$291.22	$439.34