Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $368.79 / $417.96 / $491.71	Facility		$368.79	$417.96	$491.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.02 / $334.37 / $491.52	Professional		$295.02	$334.37	$491.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $761.88 / $761.88 / $761.88	Professional		$761.88	$761.88	$761.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $150.08 / $222.61 / $293.20	Facility		$150.08	$222.61	$293.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $490.35 / $581.28 / $629.72	Professional		$490.35	$581.28	$629.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $285.39 / $285.39 / $492.82	Facility		$285.39	$285.39	$492.82
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $285.39 / $567.00 / $748.75	Professional		$285.39	$567.00	$748.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $152.86 / $223.79 / $293.20	Facility		$152.86	$223.79	$293.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $285.39 / $595.65 / $761.88	Professional		$285.39	$595.65	$761.88
United Facility/Professional Professional Modifier Low / Median / High Price $609.29 / $609.50 / $685.69	Professional		$609.29	$609.50	$685.69