Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.60 / $255.35 / $902.76	Facility		$141.60	$255.35	$902.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.88 / $153.13 / $258.93	Professional		$121.88	$153.13	$258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.21 / $139.21 / $139.21	Professional		$139.21	$139.21	$139.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $140.60 / $258.93 / $362.50	Facility		$140.60	$258.93	$362.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $139.21 / $139.21 / $278.42	Professional		$139.21	$139.21	$278.42
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $205.92 / $221.20 / $347.60	Facility		$205.92	$221.20	$347.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.00 / $189.60 / $189.60	Professional		$158.00	$189.60	$189.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $139.21 / $258.93 / $362.50	Facility		$139.21	$258.93	$362.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $139.21 / $160.87 / $185.89	Professional		$139.21	$160.87	$185.89
United Facility/Professional Professional Modifier Low / Median / High Price $147.56 / $208.82 / $417.63	Professional		$147.56	$208.82	$417.63