Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $588.84 / $588.84	Facility		$158.49	$588.84	$588.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $125.89	Professional		$83.18	$83.18	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $181.97 / $588.84	Facility		$125.89	$181.97	$588.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $89.13 / $158.49	Professional		$60.26	$89.13	$158.49
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $218.78	Facility		$138.04	$138.04	$218.78
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $181.97	Facility		$125.89	$125.89	$181.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $87.10 / $123.03	Professional		$60.26	$87.10	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $85.11 / $199.53	Professional		$83.18	$85.11	$199.53