Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.75 / $624.66 / $881.26	Facility		$380.75	$624.66	$881.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $307.06 / $307.06 / $589.37	Professional		$307.06	$307.06	$589.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $253.22 / $253.22 / $253.22	Facility		$253.22	$253.22	$253.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $439.10 / $439.10 / $439.10	Facility		$439.10	$439.10	$439.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $91.66 / $91.66 / $295.14	Professional		$91.66	$91.66	$295.14
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $320.81 / $352.89 / $591.32	Facility		$320.81	$352.89	$591.32
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.49 / $206.24 / $206.24	Professional		$82.49	$206.24	$206.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $253.22 / $352.89 / $591.32	Facility		$253.22	$352.89	$591.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $91.67 / $252.07 / $252.07	Professional		$91.67	$252.07	$252.07
United Facility/Professional Professional Modifier Low / Median / High Price $125.06 / $226.34 / $276.56	Professional		$125.06	$226.34	$276.56