Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $1,230.27 / $2,137.96	Facility		$257.04	$1,230.27	$2,137.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $165.96 / $575.44	Professional		$138.04	$165.96	$575.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Facility		$478.63	$478.63	$478.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $831.76	Facility		$173.78	$173.78	$831.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $173.78 / $562.34	Professional		$165.96	$173.78	$562.34
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $660.69 / $954.99	Facility		$173.78	$660.69	$954.99
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Professional		$389.05	$389.05	$389.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $478.63 / $831.76	Facility		$138.04	$478.63	$831.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Professional		$154.88	$154.88	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $346.74 / $524.81	Professional		$104.71	$346.74	$524.81