Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $4,677.35 / $14,125.38	Facility		$309.03	$4,677.35	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $165.96 / $371.54	Professional		$114.82	$165.96	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $389.05 / $616.60	Professional		$295.12	$389.05	$616.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $251.19 / $831.76	Facility		$117.49	$251.19	$831.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $467.74 / $724.44	Professional		$295.12	$467.74	$724.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $588.84 / $812.83	Professional		$446.68	$588.84	$812.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $199.53 / $741.31	Facility		$125.89	$199.53	$741.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $194.98 / $389.05	Professional		$60.26	$194.98	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $537.03 / $724.44	Professional		$147.91	$537.03	$724.44