Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.78 / $223.78 / $223.78	Facility		$223.78	$223.78	$223.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.20 / $41.36 / $246.45	Professional		$34.20	$41.36	$246.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.86 / $95.86 / $238.73	Professional		$95.86	$95.86	$238.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $92.33 / $246.45 / $352.42	Facility		$92.33	$246.45	$352.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $91.23 / $248.94 / $519.91	Professional		$91.23	$248.94	$519.91
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.00 / $326.70 / $480.53	Professional		$186.00	$326.70	$480.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $92.33 / $246.45 / $352.42	Facility		$92.33	$246.45	$352.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $95.86 / $302.50 / $480.53	Professional		$95.86	$302.50	$480.53
United Facility/Professional Professional Modifier Low / Median / High Price $179.68 / $207.07 / $482.01	Professional		$179.68	$207.07	$482.01