Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $304.48 / $304.48 / $304.48	Facility		$304.48	$304.48	$304.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.20 / $191.91 / $211.11	Professional		$79.20	$191.91	$211.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.55 / $188.55 / $188.55	Professional		$188.55	$188.55	$188.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $88.73 / $88.73 / $88.73	Facility		$88.73	$88.73	$88.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $191.92 / $191.92 / $617.98	Professional		$191.92	$191.92	$617.98
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $238.06 / $238.06 / $374.09	Facility		$238.06	$238.06	$374.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.05 / $62.05 / $62.05	Professional		$62.05	$62.05	$62.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $88.73 / $218.40 / $514.79	Facility		$88.73	$218.40	$514.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.00 / $188.55 / $208.22	Professional		$58.00	$188.55	$208.22
United Facility/Professional Professional Modifier Low / Median / High Price $168.35 / $171.24 / $202.02	Professional		$168.35	$171.24	$202.02