Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.99 / $98.73 / $125.00	Facility		$56.99	$98.73	$125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.63 / $64.84 / $96.29	Professional		$48.63	$64.84	$96.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.00 / $38.11 / $166.08	Professional		$26.00	$38.11	$166.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $64.33 / $99.18 / $134.81	Facility		$64.33	$99.18	$134.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $87.84 / $193.11 / $229.89	Professional		$87.84	$193.11	$229.89
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.80 / $124.28 / $281.25	Professional		$82.80	$124.28	$281.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.33 / $99.95 / $134.81	Facility		$64.33	$99.95	$134.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.29 / $112.75 / $230.40	Professional		$44.29	$112.75	$230.40
United Facility/Professional Professional Modifier Low / Median / High Price $71.09 / $155.82 / $305.31	Professional		$71.09	$155.82	$305.31