Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $524.81 / $776.25	Facility		$263.03	$524.81	$776.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $83.18 / $194.98	Professional		$52.48	$83.18	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $177.83 / $363.08	Professional		$107.15	$177.83	$363.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $288.40 / $776.25	Facility		$66.07	$288.40	$776.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $204.17 / $446.68	Professional		$93.33	$204.17	$446.68
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $323.59 / $478.63	Professional		$169.82	$323.59	$478.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $114.82 / $302.00	Facility		$44.67	$114.82	$302.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $87.10 / $194.98	Professional		$60.26	$87.10	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $223.87 / $407.38	Professional		$75.86	$223.87	$407.38