Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.45 / $113.78 / $113.78	Professional		$74.45	$113.78	$113.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.29 / $83.29 / $83.29	Professional		$83.29	$83.29	$83.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $162.71 / $162.71 / $162.71	Facility		$162.71	$162.71	$162.71
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $88.94 / $88.94 / $139.77	Facility		$88.94	$88.94	$139.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $88.94 / $127.06 / $209.65	Facility		$88.94	$127.06	$209.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $83.29 / $83.29 / $83.29	Professional		$83.29	$83.29	$83.29
United Facility/Professional Professional Modifier Low / Median / High Price $74.37 / $74.37 / $94.35	Professional		$74.37	$74.37	$94.35