Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $339.31 / $384.55 / $452.41	Facility		$339.31	$384.55	$452.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $271.45 / $307.64 / $452.23	Professional		$271.45	$307.64	$452.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $614.38 / $614.38 / $614.38	Professional		$614.38	$614.38	$614.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $134.49 / $181.26 / $236.11	Facility		$134.49	$181.26	$236.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $451.19 / $533.73 / $578.21	Professional		$451.19	$533.73	$578.21
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $232.39 / $232.39 / $452.64	Facility		$232.39	$232.39	$452.64
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $232.39 / $461.70 / $687.50	Professional		$232.39	$461.70	$687.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $137.68 / $181.81 / $236.11	Facility		$137.68	$181.81	$236.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $232.39 / $480.70 / $690.00	Professional		$232.39	$480.70	$690.00
United Facility/Professional Professional Modifier Low / Median / High Price $490.62 / $491.50 / $552.94	Professional		$490.62	$491.50	$552.94