Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $380.19 / $794.33	Facility		$371.54	$380.19	$794.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $107.15 / $173.78	Professional		$69.18	$107.15	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Professional		$114.82	$114.82	$114.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $537.03 / $977.24	Facility		$190.55	$537.03	$977.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $109.65 / $524.81	Professional		$60.26	$109.65	$524.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $245.47	Facility		$173.78	$173.78	$245.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $107.15 / $154.88	Professional		$60.26	$107.15	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $676.08 / $1,258.93	Professional		$446.68	$676.08	$1,258.93