Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.37 / $659.18 / $1,119.96	Facility		$141.37	$659.18	$1,119.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $319.99 / $319.99 / $614.19	Professional		$319.99	$319.99	$614.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.88 / $263.88 / $263.88	Facility		$263.88	$263.88	$263.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.17 / $109.86 / $137.32	Professional		$59.17	$109.86	$137.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $69.56 / $69.56 / $69.56	Facility		$69.56	$69.56	$69.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $95.52 / $95.52 / $307.57	Professional		$95.52	$95.52	$307.57
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $334.32 / $367.75 / $520.78	Facility		$334.32	$367.75	$520.78
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.97 / $166.13 / $398.72	Professional		$85.97	$166.13	$398.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.56 / $69.56 / $334.32	Facility		$69.56	$69.56	$334.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $95.52 / $104.38 / $262.68	Professional		$95.52	$104.38	$262.68
United Facility/Professional Professional Modifier Low / Median / High Price $49.95 / $191.04 / $199.36	Professional		$49.95	$191.04	$199.36