Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.24 / $435.71 / $1,540.39	Facility		$246.24	$435.71	$1,540.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.49 / $260.27 / $440.11	Professional		$217.49	$260.27	$440.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.62 / $236.62 / $236.62	Professional		$236.62	$236.62	$236.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $238.98 / $440.11 / $616.15	Facility		$238.98	$440.11	$616.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $236.62 / $236.62 / $473.24	Professional		$236.62	$236.62	$473.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $351.87 / $369.47 / $580.60	Facility		$351.87	$369.47	$580.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.91 / $316.69 / $316.69	Professional		$263.91	$316.69	$316.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $236.62 / $440.11 / $616.15	Facility		$236.62	$440.11	$616.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $236.62 / $275.62 / $312.01	Professional		$236.62	$275.62	$312.01
United Facility/Professional Professional Modifier Low / Median / High Price $250.82 / $354.93 / $709.86	Professional		$250.82	$354.93	$709.86