Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.10 / $1,194.03 / $24,710.49	Facility		$187.10	$1,194.03	$24,710.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.47 / $201.83 / $341.27	Professional		$183.47	$201.83	$341.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.48 / $183.48 / $183.48	Professional		$183.48	$183.48	$183.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $185.31 / $341.27 / $477.78	Facility		$185.31	$341.27	$477.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $183.48 / $183.48 / $366.96	Professional		$183.48	$183.48	$366.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $271.77 / $292.42 / $459.51	Facility		$271.77	$292.42	$459.51
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.87 / $250.64 / $250.64	Professional		$208.87	$250.64	$250.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $183.48 / $341.27 / $477.78	Facility		$183.48	$341.27	$477.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $183.48 / $212.27 / $245.74	Professional		$183.48	$212.27	$245.74
United Facility/Professional Professional Modifier Low / Median / High Price $194.49 / $275.22 / $550.44	Professional		$194.49	$275.22	$550.44