Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.31 / $319.73 / $9,577.00	Facility		$74.31	$319.73	$9,577.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.82 / $43.06 / $255.79	Professional		$21.82	$43.06	$255.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.19 / $78.33 / $146.66	Professional		$42.19	$78.33	$146.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $149.94 / $214.43 / $358.11	Facility		$149.94	$214.43	$358.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $57.43 / $73.95 / $131.01	Professional		$57.43	$73.95	$131.01
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.80 / $106.50 / $193.50	Professional		$56.80	$106.50	$193.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $149.94 / $214.43 / $358.11	Facility		$149.94	$214.43	$358.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.40 / $101.60 / $193.50	Professional		$43.40	$101.60	$193.50
United Facility/Professional Professional Modifier Low / Median / High Price $49.02 / $117.34 / $177.02	Professional		$49.02	$117.34	$177.02