Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.00 / $378.03 / $755.41	Facility		$246.00	$378.03	$755.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.96 / $218.96 / $420.27	Professional		$218.96	$218.96	$420.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $180.54 / $180.54 / $180.54	Facility		$180.54	$180.54	$180.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $313.11 / $313.11 / $313.11	Facility		$313.11	$313.11	$313.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $65.36 / $65.36 / $210.46	Professional		$65.36	$65.36	$210.46
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $228.76 / $251.64 / $421.62	Facility		$228.76	$251.64	$421.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.82 / $147.06 / $147.06	Professional		$58.82	$147.06	$147.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $180.54 / $251.64 / $421.62	Facility		$180.54	$251.64	$421.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.36 / $179.74 / $179.74	Professional		$65.36	$179.74	$179.74
United Facility/Professional Professional Modifier Low / Median / High Price $89.17 / $197.20 / $197.20	Professional		$89.17	$197.20	$197.20