Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $204.17 / $269.15	Facility		$114.82	$204.17	$269.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $131.83 / $177.83	Professional		$104.71	$131.83	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $223.87 / $257.04	Professional		$102.33	$223.87	$257.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $151.36 / $245.47	Facility		$123.03	$151.36	$245.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $223.87 / $524.81	Professional		$112.20	$223.87	$524.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $257.04 / $524.81	Professional		$186.21	$257.04	$524.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $154.88 / $245.47	Facility		$123.03	$154.88	$245.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $199.53 / $371.54	Professional		$97.72	$199.53	$371.54
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $213.80 / $707.95	Professional		$112.20	$213.80	$707.95