Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $147.91 / $5,888.44	Facility		$53.70	$147.91	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $50.12 / $125.89	Professional		$14.13	$50.12	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $190.55	Professional		$57.54	$57.54	$190.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $117.49 / $489.78	Facility		$13.49	$117.49	$489.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $58.88 / $223.87	Professional		$30.90	$58.88	$223.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $85.11 / $295.12	Professional		$45.71	$85.11	$295.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $67.61 / $323.59	Facility		$13.18	$67.61	$323.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $57.54 / $190.55	Professional		$21.88	$57.54	$190.55
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $69.18 / $186.21	Professional		$45.71	$69.18	$186.21