Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.15 / $75.15 / $112.72	Professional		$75.15	$75.15	$112.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.88 / $80.88 / $80.88	Professional		$80.88	$80.88	$80.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $161.19 / $161.19 / $161.19	Facility		$161.19	$161.19	$161.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $75.15 / $75.15 / $241.98	Professional		$75.15	$75.15	$241.98
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $115.39 / $115.39 / $181.32	Facility		$115.39	$115.39	$181.32
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.85 / $173.85 / $173.85	Professional		$173.85	$173.85	$173.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.06 / $160.08 / $264.13	Facility		$112.06	$160.08	$264.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $80.88 / $81.52 / $173.85	Professional		$80.88	$81.52	$173.85
United Facility/Professional Professional Modifier Low / Median / High Price $72.20 / $72.20 / $86.51	Professional		$72.20	$72.20	$86.51