Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.05 / $468.15 / $1,236.65	Facility		$156.05	$468.15	$1,236.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.91 / $131.71 / $368.05	Professional		$45.91	$131.71	$368.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.71 / $140.63 / $394.35	Professional		$51.71	$140.63	$394.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $74.40 / $184.41 / $451.53	Facility		$74.40	$184.41	$451.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $121.20 / $290.31 / $497.11	Professional		$121.20	$290.31	$497.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.00 / $262.00 / $605.50	Professional		$131.00	$262.00	$605.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $68.53 / $184.41 / $368.05	Facility		$68.53	$184.41	$368.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $104.98 / $233.31 / $595.50	Professional		$104.98	$233.31	$595.50
United Facility/Professional Professional Modifier Low / Median / High Price $214.36 / $311.39 / $473.84	Professional		$214.36	$311.39	$473.84