Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.21 / $162.82 / $222.35	Facility		$130.21	$162.82	$222.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.95 / $91.90 / $138.90	Professional		$68.95	$91.90	$138.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $97.19 / $193.64	Professional		$63.00	$97.19	$193.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $91.05 / $138.90 / $194.46	Facility		$91.05	$138.90	$194.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $120.79 / $272.67 / $333.52	Professional		$120.79	$272.67	$333.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.50 / $165.20 / $375.97	Professional		$117.50	$165.20	$375.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $91.05 / $138.90 / $194.46	Facility		$91.05	$138.90	$194.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $94.80 / $148.50 / $295.20	Professional		$94.80	$148.50	$295.20
United Facility/Professional Professional Modifier Low / Median / High Price $78.73 / $145.83 / $263.94	Professional		$78.73	$145.83	$263.94