Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.11 / $220.87 / $265.41	Facility		$137.11	$220.87	$265.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.59 / $68.06 / $372.68	Professional		$38.59	$68.06	$372.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.79 / $118.04 / $236.55	Professional		$78.79	$118.04	$236.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $231.34 / $330.82 / $521.75	Facility		$231.34	$330.82	$521.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $110.78 / $132.93 / $234.84	Professional		$110.78	$132.93	$234.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.60 / $198.00 / $338.32	Professional		$149.60	$198.00	$338.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $231.34 / $330.82 / $521.75	Facility		$231.34	$330.82	$521.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.04 / $180.00 / $316.54	Professional		$87.04	$180.00	$316.54
United Facility/Professional Professional Modifier Low / Median / High Price $79.42 / $189.24 / $285.49	Professional		$79.42	$189.24	$285.49