Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.08 / $323.08 / $1,084.26	Facility		$323.08	$323.08	$1,084.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.14 / $240.00 / $288.45	Professional		$180.14	$240.00	$288.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.27 / $146.27 / $146.27	Professional		$146.27	$146.27	$146.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $240.00 / $288.45 / $441.34	Facility		$240.00	$288.45	$441.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $217.64 / $217.64 / $312.55	Professional		$217.64	$217.64	$312.55
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $349.00 / $756.00 / $1,047.00	Professional		$349.00	$756.00	$1,047.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $250.00 / $288.45 / $441.34	Facility		$250.00	$288.45	$441.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $214.43 / $658.00 / $1,566.04	Professional		$214.43	$658.00	$1,566.04
United Facility/Professional Professional Modifier Low / Median / High Price $452.91 / $506.94 / $1,094.41	Professional		$452.91	$506.94	$1,094.41