Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $676.08 / $977.24	Facility		$338.84	$676.08	$977.24
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $426.58 / $724.44 / $724.44	Facility	50	$426.58	$724.44	$724.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $60.26 / $186.21	Professional		$37.15	$60.26	$186.21
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $69.18 / $691.83 / $758.58	Professional	50	$69.18	$691.83	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $131.83 / $239.88	Professional		$95.50	$131.83	$239.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $234.42 / $851.14	Facility		$50.12	$234.42	$851.14
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $426.58 / $426.58 / $724.44	Facility	50	$426.58	$426.58	$724.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $147.91 / $302.00	Professional		$64.57	$147.91	$302.00
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $69.18 / $512.86 / $758.58	Professional	50	$69.18	$512.86	$758.58
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $204.17 / $295.12	Professional		$120.23	$204.17	$295.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $74.13 / $263.03	Facility		$38.90	$74.13	$263.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $69.18 / $131.83	Professional		$47.86	$69.18	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $204.17 / $302.00	Professional		$53.70	$204.17	$302.00