Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $256.41 / $381.98 / $10,900.00	Facility		$256.41	$381.98	$10,900.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.18 / $197.86 / $336.14	Professional		$38.18	$197.86	$336.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.07 / $152.25 / $276.70	Professional		$104.07	$152.25	$276.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $47.89 / $205.13 / $427.83	Facility		$47.89	$205.13	$427.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $100.28 / $191.16 / $384.15	Professional		$100.28	$191.16	$384.15
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.00 / $246.00 / $360.51	Professional		$155.00	$246.00	$360.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.86 / $225.64 / $427.83	Facility		$51.86	$225.64	$427.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $94.39 / $229.90 / $359.58	Professional		$94.39	$229.90	$359.58
United Facility/Professional Professional Modifier Low / Median / High Price $158.36 / $277.13 / $348.39	Professional		$158.36	$277.13	$348.39