Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.38 / $218.38 / $287.64	Facility		$218.38	$218.38	$287.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.00 / $156.97 / $235.47	Professional		$141.00	$156.97	$235.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.37 / $172.37 / $172.37	Professional		$172.37	$172.37	$172.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $336.72 / $336.72 / $336.72	Facility		$336.72	$336.72	$336.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $64.51 / $64.51 / $92.15	Professional		$64.51	$64.51	$92.15
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $246.23 / $246.23 / $386.94	Facility		$246.23	$246.23	$386.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $234.51 / $335.02 / $552.78	Facility		$234.51	$335.02	$552.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.51 / $92.15 / $172.37	Professional		$64.51	$92.15	$172.37
United Facility/Professional Professional Modifier Low / Median / High Price $149.63 / $153.90 / $156.55	Professional		$149.63	$153.90	$156.55