Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.43 / $215.79 / $762.90	Facility		$124.43	$215.79	$762.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.36 / $218.29 / $280.02	Professional		$118.36	$218.29	$280.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.36 / $117.36 / $117.36	Professional		$117.36	$117.36	$117.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $312.14 / $312.14 / $312.14	Facility		$312.14	$312.14	$312.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $117.36 / $117.36 / $377.90	Professional		$117.36	$117.36	$377.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $174.29 / $189.41 / $297.64	Facility		$174.29	$189.41	$297.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $169.47 / $262.70 / $433.46	Facility		$169.47	$262.70	$433.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $117.36 / $117.36 / $127.33	Professional		$117.36	$117.36	$127.33
United Facility/Professional Professional Modifier Low / Median / High Price $117.36 / $176.04 / $236.74	Professional		$117.36	$176.04	$236.74