Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.63 / $142.25 / $142.25	Facility		$27.63	$142.25	$142.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.63 / $28.12 / $157.07	Professional		$8.63	$28.12	$157.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.02 / $32.02 / $85.48	Professional		$32.02	$32.02	$85.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.56 / $74.27 / $219.90	Facility		$11.56	$74.27	$219.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.60 / $75.20 / $195.30	Professional		$25.60	$75.20	$195.30
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.45 / $96.25 / $162.00	Professional		$36.45	$96.25	$162.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.56 / $74.27 / $219.90	Facility		$11.56	$74.27	$219.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.02 / $61.70 / $171.71	Professional		$32.02	$61.70	$171.71
United Facility/Professional Professional Modifier Low / Median / High Price $63.88 / $102.57 / $154.46	Professional		$63.88	$102.57	$154.46