Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.65 / $167.25 / $223.12	Facility		$0.65	$167.25	$223.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.17 / $167.25 / $397.15	Professional		$55.17	$167.25	$397.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.66 / $193.10 / $346.04	Professional		$142.66	$193.10	$346.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $71.01 / $283.68 / $529.76	Facility		$71.01	$283.68	$529.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $144.75 / $242.61 / $487.50	Professional		$144.75	$242.61	$487.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.75 / $332.10 / $468.00	Professional		$223.75	$332.10	$468.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.56 / $312.05 / $529.76	Facility		$72.56	$312.05	$529.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $119.63 / $321.73 / $468.00	Professional		$119.63	$321.73	$468.00
United Facility/Professional Professional Modifier Low / Median / High Price $200.48 / $350.84 / $427.50	Professional		$200.48	$350.84	$427.50