Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.66 / $119.75 / $583.30	Facility		$21.66	$119.75	$583.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.81 / $174.32 / $375.73	Professional		$148.81	$174.32	$375.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.75 / $375.75 / $375.75	Facility		$375.75	$375.75	$375.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $189.39 / $406.73 / $447.38	Professional		$189.39	$406.73	$447.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $133.13 / $133.13 / $537.29	Facility		$133.13	$133.13	$537.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $125.35 / $179.08 / $296.31	Professional		$125.35	$179.08	$296.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $471.25 / $546.65 / $809.00	Professional		$471.25	$546.65	$809.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $375.73 / $375.75 / $537.29	Facility		$375.73	$375.75	$537.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $356.57 / $567.00 / $850.70	Professional		$356.57	$567.00	$850.70
United Facility/Professional Professional Modifier Low / Median / High Price $252.05 / $325.38 / $490.87	Professional		$252.05	$325.38	$490.87