Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $457.09 / $9,772.37	Facility		$229.09	$457.09	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $85.11 / $229.09	Professional		$35.48	$85.11	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $117.49 / $295.12	Professional		$41.69	$117.49	$295.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $77.62 / $257.04	Facility		$38.02	$77.62	$257.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $144.54 / $331.13	Professional		$69.18	$144.54	$331.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $194.98 / $436.52	Professional		$125.89	$194.98	$436.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $74.13 / $169.82	Facility		$33.11	$74.13	$169.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $87.10 / $218.78	Professional		$45.71	$87.10	$218.78
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $131.83 / $263.03	Professional		$93.33	$131.83	$263.03