Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.71 / $172.71 / $610.58	Facility		$172.71	$172.71	$610.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.45 / $174.45 / $289.30	Professional		$174.45	$174.45	$289.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.69 / $128.69 / $128.69	Professional		$128.69	$128.69	$128.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $249.46 / $249.46 / $249.46	Facility		$249.46	$249.46	$249.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $155.61 / $155.61 / $222.30	Professional		$155.61	$155.61	$222.30
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $496.70 / $496.70 / $496.70	Professional		$496.70	$496.70	$496.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $249.46 / $249.46 / $249.46	Facility		$249.46	$249.46	$249.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $128.69 / $222.30 / $253.35	Professional		$128.69	$222.30	$253.35
United Facility/Professional Professional Modifier Low / Median / High Price $259.31 / $388.97 / $523.08	Professional		$259.31	$388.97	$523.08