Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $870.96 / $1,479.11	Facility		$181.97	$870.96	$1,479.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $117.49 / $407.38	Professional		$100.00	$117.49	$407.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Facility		$338.84	$338.84	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $549.54	Facility		$123.03	$123.03	$549.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $389.05	Professional		$123.03	$123.03	$389.05
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $457.09 / $489.78	Facility		$123.03	$457.09	$489.78
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Professional		$275.42	$275.42	$275.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $338.84 / $588.84	Facility		$97.72	$338.84	$588.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $123.03 / $123.03	Professional		$75.86	$123.03	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $245.47 / $371.54	Professional		$74.13	$245.47	$371.54