Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.66 / $441.40 / $749.95	Facility		$94.66	$441.40	$749.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $214.27 / $214.27 / $411.26	Professional		$214.27	$214.27	$411.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $176.67 / $176.67 / $176.67	Facility		$176.67	$176.67	$176.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $306.41 / $306.41 / $306.41	Facility		$306.41	$306.41	$306.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $63.96 / $63.96 / $205.95	Professional		$63.96	$63.96	$205.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $223.86 / $236.65 / $255.84	Facility		$223.86	$236.65	$255.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.56 / $143.91 / $143.91	Professional		$57.56	$143.91	$143.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $176.67 / $236.65 / $306.41	Facility		$176.67	$236.65	$306.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $57.56 / $175.89 / $175.89	Professional		$57.56	$175.89	$175.89
United Facility/Professional Professional Modifier Low / Median / High Price $63.96 / $127.92 / $192.98	Professional		$63.96	$127.92	$192.98