Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $569.10 / $936.26 / $1,583.38	Facility		$569.10	$936.26	$1,583.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $458.95 / $458.95 / $880.91	Professional		$458.95	$458.95	$880.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $378.46 / $378.46 / $378.46	Facility		$378.46	$378.46	$378.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $656.30 / $656.30 / $656.30	Facility		$656.30	$656.30	$656.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $137.00 / $137.00 / $441.14	Professional		$137.00	$137.00	$441.14
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $479.50 / $506.90 / $548.00	Facility		$479.50	$506.90	$548.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.30 / $308.25 / $308.25	Professional		$123.30	$308.25	$308.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $378.46 / $506.90 / $656.30	Facility		$378.46	$506.90	$656.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $123.30 / $376.75 / $376.75	Professional		$123.30	$376.75	$376.75
United Facility/Professional Professional Modifier Low / Median / High Price $137.00 / $274.00 / $413.36	Professional		$137.00	$274.00	$413.36