Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $645.65 / $1,819.70	Facility		$128.82	$645.65	$1,819.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $147.91 / $512.86	Professional		$123.03	$147.91	$512.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Facility		$426.58	$426.58	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $218.78	Professional		$177.83	$177.83	$218.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $158.49 / $512.86	Facility		$154.88	$158.49	$512.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $616.60	Professional		$154.88	$154.88	$616.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $562.34 / $616.60	Facility		$537.03	$562.34	$616.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $346.74 / $346.74	Professional		$229.09	$346.74	$346.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Facility		$158.49	$158.49	$158.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $154.88	Professional		$138.04	$138.04	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $309.03 / $467.74	Professional		$69.18	$309.03	$467.74