Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.82 / $363.95 / $1,286.71	Facility		$203.82	$363.95	$1,286.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.83 / $197.83 / $367.97	Professional		$197.83	$197.83	$367.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.83 / $197.83 / $197.83	Professional		$197.83	$197.83	$197.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $199.81 / $367.97 / $526.20	Facility		$199.81	$367.97	$526.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $197.83 / $197.83 / $395.66	Professional		$197.83	$197.83	$395.66
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $292.62 / $311.29 / $489.17	Facility		$292.62	$311.29	$489.17
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $222.35 / $266.82 / $266.82	Professional		$222.35	$266.82	$266.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $197.83 / $367.97 / $526.20	Facility		$197.83	$367.97	$526.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $197.83 / $229.53 / $261.58	Professional		$197.83	$229.53	$261.58
United Facility/Professional Professional Modifier Low / Median / High Price $209.70 / $296.75 / $593.49	Professional		$209.70	$296.75	$593.49