Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $67.61 / $93.33	Professional		$53.70	$67.61	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $81.28 / $223.87	Professional		$67.61	$81.28	$223.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $75.86 / $141.25	Facility		$60.26	$75.86	$141.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $69.18 / $120.23	Professional		$57.54	$69.18	$120.23
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $134.90 / $269.15	Professional		$95.50	$134.90	$269.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $79.43 / $144.54	Facility		$63.10	$79.43	$144.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $79.43 / $125.89	Professional		$60.26	$79.43	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $169.82 / $363.08	Professional		$60.26	$169.82	$363.08