Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $102.33 / $123.03	Professional		$61.66	$102.33	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Professional		$83.18	$83.18	$83.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $104.71 / $131.83	Facility		$37.15	$104.71	$131.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $102.33 / $117.49	Professional		$77.62	$102.33	$117.49
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $245.47 / $446.68	Professional		$138.04	$245.47	$446.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $102.33 / $128.82	Facility		$44.67	$102.33	$128.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $109.65	Professional		$83.18	$83.18	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $269.15 / $588.84	Professional		$104.71	$269.15	$588.84