Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.18 / $130.18 / $180.10	Facility		$130.18	$130.18	$180.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.00 / $220.79 / $305.47	Professional		$41.00	$220.79	$305.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.26 / $151.03 / $274.64	Professional		$110.26	$151.03	$274.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $50.74 / $220.79 / $427.66	Facility		$50.74	$220.79	$427.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $108.35 / $192.15 / $386.10	Professional		$108.35	$192.15	$386.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.10 / $254.00 / $364.72	Professional		$165.10	$254.00	$364.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $54.87 / $242.87 / $427.66	Facility		$54.87	$242.87	$427.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $95.25 / $247.00 / $362.00	Professional		$95.25	$247.00	$362.00
United Facility/Professional Professional Modifier Low / Median / High Price $159.08 / $278.39 / $349.98	Professional		$159.08	$278.39	$349.98