Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.41 / $98.15 / $107.97	Professional		$56.41	$98.15	$107.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.58 / $96.58 / $96.58	Professional		$96.58	$96.58	$96.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $96.04 / $96.04 / $96.04	Facility		$96.04	$96.04	$96.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $98.16 / $98.16 / $316.08	Professional		$98.16	$98.16	$316.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $193.34	Facility		$123.03	$123.03	$193.34
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.16 / $67.16 / $67.16	Professional		$67.16	$67.16	$67.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $96.04 / $123.03 / $290.00	Facility		$96.04	$123.03	$290.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $96.58 / $96.58 / $106.49	Professional		$96.58	$96.58	$106.49
United Facility/Professional Professional Modifier Low / Median / High Price $86.23 / $86.23 / $103.33	Professional		$86.23	$86.23	$103.33