Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $380.19	Facility		$144.54	$144.54	$380.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $169.82 / $302.00	Professional		$128.82	$169.82	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $446.68 / $575.44	Professional		$398.11	$446.68	$575.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $354.81 / $501.19	Facility		$144.54	$354.81	$501.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $478.63 / $575.44	Professional		$165.96	$478.63	$575.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $602.56	Professional		$446.68	$446.68	$602.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $501.19	Facility		$354.81	$354.81	$501.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $223.87 / $575.44	Professional		$60.26	$223.87	$575.44
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $457.09 / $691.83	Professional		$162.18	$457.09	$691.83