Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $292.72 / $292.72 / $292.72	Facility		$292.72	$292.72	$292.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $322.36 / $322.36 / $655.36	Professional		$322.36	$322.36	$655.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $340.33 / $340.33 / $364.35	Professional		$340.33	$340.33	$364.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $460.97 / $460.97 / $460.97	Facility		$460.97	$460.97	$460.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $149.15 / $318.30 / $574.00	Professional		$149.15	$318.30	$574.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $392.50 / $442.80 / $600.24	Professional		$392.50	$442.80	$600.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $460.97 / $460.97 / $460.97	Facility		$460.97	$460.97	$460.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $149.15 / $410.00 / $751.77	Professional		$149.15	$410.00	$751.77
United Facility/Professional Professional Modifier Low / Median / High Price $229.22 / $272.26 / $408.39	Professional		$229.22	$272.26	$408.39