Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.62 / $98.62 / $98.62	Facility		$98.62	$98.62	$98.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.72 / $88.80 / $268.87	Professional		$49.72	$88.80	$268.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.49 / $178.69 / $382.45	Professional		$111.49	$178.69	$382.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $45.42 / $88.80 / $126.98	Facility		$45.42	$88.80	$126.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $88.95 / $176.23 / $298.87	Professional		$88.95	$176.23	$298.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.50 / $229.50 / $804.00	Professional		$137.50	$229.50	$804.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.42 / $88.80 / $126.98	Facility		$45.42	$88.80	$126.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.68 / $304.00 / $827.33	Professional		$72.68	$304.00	$827.33
United Facility/Professional Professional Modifier Low / Median / High Price $305.95 / $310.20 / $553.36	Professional		$305.95	$310.20	$553.36